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Montgomery County Ohio Board of Development Disabilities Services Homepage
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Certification

Frequently Asked Questions

  1. Provider Frequently Asked Questions 8.2021 (PDF)

Providers forms and templates

  1. GENERAL PROVIDER CERTIFICATION PROCESS INFO 8.2021 (PDF)
  2. INDEPENDENT PROVIDER CERTIFICATION CHECKLIST 9.2021 (PDF)
  3. Provider Training Information 8.2021 (PDF)
  4. Becoming an Agency Provider 2021 (PDF)
  5. Create an OH ID Log On Independent Provider 7.2019 (PDF)
  6. EVV Training for Certification (PDF)
  7. Setting up Supplier ID Number. Independent Provider (PDF)
  8. Shared Living monthly template 2020 (PDF)
  9. Shared Living Documentation Template with 2 Outcomes 2018 (PDF)

Contact Us

  1. Montgomery County Board of Developmental Disabilities Services

  2. 8114 North Main Street

  3. Dayton, OH 45415

  4. Phone: 937-890-0730

  1. Montgomery County Ohio Board of Development Disabilities Services Homepage

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