Specialties for Home & Community Based Services (HCBS)
Waiver – Individuals with Intellectual and Developmental Disabilities
To see which documents must be submitted with your Provider Enrollment Packet, click the name of your provider specialty in the list below. Out of state providers must also submit proof of Medicaid eligibility in the state that services are/were rendered.
| Specialty | Description | Updated Date |
|---|---|---|
| Specialty 211 | Habilitation-Community | 07/31/24 |
| Specialty 212 | Habilitation-Prevocational | 07/31/24 |
| Specialty 214 | Supported Environment | 07/31/24 |
| Specialty 215 | Counseling Services | 07/31/24 |
| Specialty 216 | Supported Living Services | 07/31/24 |
Return to Provider Enrollment Checklists page.
If you have any questions, please contact the Provider Enrollment Unit at (877) 638-3472 from 8:00AM to 5:00PM, Monday through Friday