DSP Contractor Packet
DSP Guides
Direct Service Providers are required by the state of Alabama to follow certain guidelines for their employees.
Guidelines can be viewed by clicking the buttons below.
Frail Elderly and Disabled Medicaid Waiver Scopes of Services Links
Adult Day Care – Minimum Requirements – PDF
ACT Medicaid Waiver Scopes of Services Links
Adult Day Health Services – PDF
Forms
Adult Day Health 60 Day Assessment Sept. 2020
Adult Day Health Itemized Billing Sheet Dec. 2022
Billing Itemization by Case Manager – PDF
Billing Itemization by Case Manager – Skilled Nursing – PDF
Certificate of Compliance – PDF
Direct Service Provider Intake Form
DSP Supervisory Visit Report Oct. 2025
HCBS Medical Evaluation Form – PDF
Inservice Checklist – Orientation
MW-25A DSP Orientation Training Approval List – PDF
MW-25B DSP Annual Training Approval List – PDF
Skilled Respite Weekly Service Report – PDF
Skilled Respite Daily Service Report – PDF
SPA – Homemaker, Personal Care, Companion – PDF
SPA – Skilled Nursing – RN/LPN – PDF
Additional Requirements and Links for Direct Service Providers (DSPs)
- It is the responsibility of Direct Service Providers (Contractors) to check the Office of the Inspector General (OIG) Exclusion list prior to hiring employees and to check this on an on-going basis.
- The Direct Service Provider (DSPs) is to place proof of their checks in a file.
- If a provider or employee is found by Medicaid or CMS to have received Medicaid payment while being an excluded provider, recoupment will occur.
- A link for the exclusion website below. Also below are the links for the national sex offender list, the nurse aide registry, and the Alabama Board of Nursing license lookup. The DSP is required to check these and retain proof of the same.
- All requirements noted in the Scopes of Services, such as but not limited to, Background Checks, TB tests for all employees and supervisors which must be completed annually or sooner, required pre-work and annual training, and more, must be completed, documented and filed.
- Failure to complete any requirements may result in recoupments for all services provided by the affected employee.
Office of the Inspector General Exclusion List: Click Here
National Sex Offender List: Click Here
Nurse Aide Registry: Click Here
Link to the Alabama Board of Nursing for Nursing License lookup: Click Here
or link to the Alabama Board of Nursing main page
(follow link to left on main menu to search for License Lookup): Click Here
As an area agency on aging, SARCOA works to bring together funding sources and service providers to deliver services that assist both senior citizens and individuals with disabilities, helping them maintain their dignity, independence and quality of life.
Our Programs
Staying At Home
We can help you remain independent and at home with services that provide guidance and support .
Keeping Active
Good health is important to aging and we have programming that point you in the right direction.
Living Healthy
Get active and involved with your local senior center by joining in the fun or volunteering to help.
Legal & Insurance Assistance
Preparing your life planning activities and finding the right health insurance are important aspects of aging.
Aging & Disability Resources
Whether it’s finding the right care at home, qualifying for benefits, or learning about area nursing facilities, we can help.
Elder Rights
One of our most important responsibilities is to ensure your rights are upheld as you age.
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