Service Requests

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Free Choice of Provider Instructions

Click on each "Service Request Form" separately to review. If you are interested in providing the services in a request, please contact Judy Shawver at servicerequests@greenedd.org. Please include in the email the number of the request that you are interested in, as well as how the individual can best get in contact with you. Also include any information about you, or your agency, that you would like the individual to know about.

Note: It is very important to keep your Provider Profile up to date with DODD, as Individuals are also encouraged to use DODD's Provider Search to locate providers. To review your information or to make changes to your profile, please log in to your user account at dodd.ohio.gov, and update your demographic information in the Certification Wizard.

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Agency Provider Job Opportunities

The Greene County Board of DD has posted this list of agency provider contacts for job openings in an effort to assist private providers with recruitment of staff. Click here to view the list

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Certification

*Note: Becoming a certified provider does not mean that the provider is an employee of the State of Ohio, the Ohio Department of Developmental Disabilities (DODD), or the local County Board of Developmental Disabilities. An Independent Provider is a self-employed person who is certified to provide Home and Community Based Waiver services in the DD system in Ohio. Independent providers must be the provider of the services and cannot employ, either directly or indirectly or through contract, anyone else to provide the services.

Training Resources

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Documentation

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Billing

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Incident Reporting

For tracking of unusual Incidents, you need to maintain an unusual Incident log for each month, for each individual you work with. Even if there are no incidents to report, you will need to have a log completed to show you are mindful of the tracking. See the UIR log below.
You are required to notify our Investigative Agent, Josh Carson, of incidents semi-annually. The semi-annual report that you will need to complete and send to Josh is included below. You will need to send one for January 1st through June 30th, and then one for July 1st through December 31st. Josh’s email is report@greenedd.org
For Questions about Incident Reporting responsibilities, contact Josh Carson at 562-6784.

 

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If you have questions, please contact:

Sarah Combs,
Provider Support Coordinator
(937)562-6502
providers@greenedd.org

DODD Provider Support Center
1-800-617-6733
Opt.2- Claims Services and Billing
Opt.3 – certification
Opt.4 – security/technical issues

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