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Money Follows the Person - Psychiatric Residential Treatment Facility (MFP-PRTF)
All DMHA-certified CA-PRTF Demonstration Grant service providers (as of September 30, 2012) automatically became a MFP-PRTF service provider (on October 1, 2012), without any additional documentation requirements, as long as the following criteria were met:
As needed, to support this limited waiver program, additional child service agencies and providers in areas of need may continue to be recruited to become MFP-PRTF service providers. Prospective service providers must complete the Provider Application and Certification processes, as defined in this section.
Provider Certification Instruction Sheet
Provider Demographic Form
Wraparound Provider Certification Form
Wraparound Technician Provider Certification Form
Habilitation Provider Certification Form
Consultative and Clinical Therapy Provider Certification Form
Training for the Unpaid Caregiver Provider Certification Form
Respite Provider Certification Form
Non-Medical Provider Certification Form
Wraparound Practitioner Certification (WPC) Program
General Information (Information to be posted)
Certification & Training Program (Information to posted)
WPC Forms (Information to be posted)
All providers are required to complete training based upon the type of service DMHA has authorized the provider to deliver. Refer to the Provider Manual for additional information about new provider and recertification training requirements. The provider manual is the DMHA Home and Community-Based Services Waiver Provider Manual located on the Indiana Medicaid website. Please note: MFP-PRTF providers must adhere to all Division of Aging requirements and policies in regards to the delivery of MFP-PRTF services.
MFP-PRTF providers are responsible to attend all required DMHA and Division of Aging training, as required to provide MFP-PRTF services.
Child and Adolescent Needs and Strengths (CANS) Training and Certification
For information about the CANS training and registration, click here. You can also receive additional information by contacting our CANS training (click here).
Billing for Services
MFP-PRTF Services HCPCS Billing Codes
HP Billing and Claims Support
IHCP Information (Medicaid Provider Information)
Miscellaneous Provider Forms and Information
MFP-PRTF Services Definitions
Provider Status Changes
Provider Background Checks
For provider-specific DMHA policy and procedure questions, contact the Youth Provider Certification Specialist (Email).