Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

Provider Information

Thinking About Becoming an EarlySteps Provider?

If you have been thinking about becoming a provider please click HERE to learn more about the role of an Early Interventionist. Also review the EarlySteps Provider Guide in the Enrollment list below.

Announcements:

Click HERE to view the Early Intervention Certification - LEEP Courses for 2012.

 

Attention Providers, Family Support Coordinators and SPOE's please review the email encryption document that outlines the process everyone is required to follow when emailing personally identifiable information about  EarlySteps children and families to each other. Please click HERE to review.

Provider Enrollment Information:

EarlySteps enrolls providers as independent vendors, rather than employees of the system. Please contact the EarlySteps Coordinator in your region for information about enrollment. Please see the required enrollment form list below:

• Background Check Original Form
• Background Check Instructions Form - New
  
• EarlySteps Provider Guide
• Provider Enrollment Check List
• Provider Payee Agreement
• Certification Regarding Lobbying, Debarment and Suspension
• IRS W-9 Form
• Central Finance Office Check List Louisiana Part C
• CFO Provider Enrollment
• Provider Medicaid Assurance Form
• Central Finance Office Payee Agreement
• Service Provider Agreement, Durable Medical Equipment (DME)
• EFT \ Direct Deposit Authorization Form
• Electronic Signature
• On Line Access Form

Pay Schedule and Reimbursement:

• 2013 Payment Schedule

• Louisiana Reimbursement Schedule and Procedure Codes

Central Finance Office:

EarlySteps uses the services of the Central Finance Office contract agency for its provider enrollment, central directory (service matrix), service authorizations, claims submission and claims payment functions. Learn more. 

 

Additional Resources:

EarlySteps Practice Manual

Provider Qualifications

Medicaid Website