Health Planning Council of SW Florida, Inc.
  
 

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This page is for Early Steps of Southwest Florida's Direct Staff, Outside Providers, and Interested Providers to access information regarding the following areas of interest:  
  
Training   Important Forms   Special Projects   Enrollment

            

 
**ATTENTION Early Steps Providers**
 
Below is a link for the Early Steps Online Provider Survey.  Please take a moment to complete the survey and supply your opinions and suggestions on how to improve and maintain your Local Early Steps Program.  The survey will take approximately 10-15 minutes to complete.
 
 
Thank you for taking the time to complete this important survey.
 

 
Evaluation Calendar(s):  August 2010  July 2010
August Calendar Last Updated at 12:00PM 7/28/2010
July Calendar Last Updated at 4:30PM 7/23/2010


Provider Newsletter(s): June/May 2010 
 


  Provider Training Information
Direct and Contracted Staff

ITDS Courses are BACK & Start August 24, 2010!
Registration Deadline is August 17, 2010

Individuals wishing to pursue courses leading towards the ITDS Certificate will have the opportunity to do so through the Virtual ESE Online Program, in collaboration with the Florida Department of Heath, Children’s Medical Services, Bureau of Early Steps. 

The Florida Department of Health, Children’s Medical Services, Bureau of Early Steps provides
tuition support for students taking the ITDS coursework offered through the Virtual ESE Online Distance Learning Program. Students must agree to work as an Infant Toddler Developmental Specialist (ITDS) for a period of one year for every semester in which tuition assistance is received and will be required to earn a grade of ‘B’, or better, in courses where tuition assistance was received.
 
Please Contact Katie Moore for more information: (239) 433-6700 or katiechrien@gmail.com
 
July 2010:
**COMING SOON**
Dr. Mary Pavan, Developmental Pediatrician & St. Pete ES Medical Director
Eliana Tardio - Medicaid Enrollment for Low-Income Families
 
June 2010:
**COMING SOON**
PPEC of Collier County
PPEC of Lee County
 
 


    
Assistive Technology Lending Library 
Direct and Contracted Staff

Young children change in size and capability very quickly and may outgrow a piece of assistive technology in a matter of months.  A lending library is a cost efficient way to make such devices available to a large number of children who may only need them for a short period of time.  The assistive technology should be returned once the child no longer needs or outgrows the equipment, so another child may benefit from the assistive technology. 
 
                             

    
Important Forms, Reports, and More
 
Direct and Contracted Staff
 
**NEW 2011 Consultation Among Service Providers - This form is used to document consultations between team members and a copy is submitted to Early Steps with the Monthly Invoice. 
 
IAR Form - This form is used by Providers and Service Coordinators to document services completed.
 
Insurance Verification Form - This form is used by Service Coordinators and/or Providers to collect insurance information for third party billing.  The form is an Adobe pdf and can be edited on the computer, however the form must have original-ink signatures.   ESPAÑOL

**NEW 2011 Monthly Report - This form is used by Providers to report child and family progress to the team.  It is sent to Early Steps with the Monthly Invoice.  
 
Natural Environment Travel Log - This form is for our Providers and is used to document their travel for Early Steps appointments. 

**NEW
 2011 Provider Contract - This form is for our Contracted Providers and is the agreement between the Health Planning Council of Southwest Florida, Inc. and the Provider.


**NEW 2011 Direct Services Provider Invoice - This form is used by Providers to submit the Monthly Billing to Early Steps for their Direct  Services ONLY.

**NEW
 2011 Evaluation Services Provider Invoice -  This form is used by Providers to submit the Monthly Billing to Early Steps for their Evaluation, Assessment, and Other Services ONLY.  
 
**Please note the following items open as an Adobe Portfolio:
**NEW 2011 Early Steps Contract and Attachments - This Portfolio contains fifteen different documents.

**As the documents come available, they will be posted and updated on this page.
 


Early Steps Special Projects
Local Early Steps Staff

Medical Fragile Enhancement Team
A project created to increase the body of knowledge on
medical conditions and therapies, as they relate to the
development of medically fragile infants and toddlers.

For More Information Please Contact:
Elli Grim, SLP or visit our Resource Library.
  
Infant Mental Health Workgroup
A workgroup intended to design multidisciplinary, interagency
strategies to develop networking and referral systems to
provide family oriented infant mental health services. 

For More Information Please Contact:
Trina Puddefoot, Program Director or visit our Resource Library.
 

 
Interested in becoming an Early Steps Provider?
 
Complete the following steps to breeze through the process.
 
1.   If you do not have an National Provider Identifier (NPI) Number go
       to https://nppes.cms.hhs.gov/NPPES/Welcome.do  to apply for one.
 
2.   If you do not have a Medicaid Provider Number, please go to
       Medicaid's Enrollment Website
for additional help.
 
3.   Go to https://www.cmskidsproviders.com/eis/  and select Apply at the
       bottom of the web page.
 
4.   Enter your First & Last Name and then create a personal Password (at least 6
           characters)
 using at least one of each of the following: Upper Case Letter,
       Lower Case Letter, Number, and Special Character
**Document your Password**
 
5.   When your information is accepted you will move onto the First Page of the
       CMS Application and a window will pop-up noting your Username
**Document your Username**
 
6.   Enter all the required information (*) in each section and
       Select Save & Continue to move on.
 
7.   Once your application has been completed, submitted, and
       confirmed you will receive an email from the State Office
       with your Provider Checklist attached.
 
8.   Contact Katie Chrien at (239) 433-6700 to for assistance with the CMS and 
       Medicaid processes, or for more information.

For more information visit: http://www.cms-kids.com/providers/index.html.  
 
 8961 Daniels Center Drive, STE 401 |  Fort Myers, FL 33912  |  Phone: 239.433.6700  |  Fax: 239.433.6703