Classification of Early Steps Providers

To enroll as a provider in Early Steps you must be able to access the Internet and provide an email address on your application. The process of provider enrollment involves three easy steps:

Step One: Complete and submit by email the appropriate application form. You will receive an email acknowledgement of receipt of your application and information you will need to access the required on-line training modules. Read the specific enrollment requirements for each class and access to the application.

Step Two: Read and sign the Terms and Conditions of Early Steps Provider Enrollment and Approval. Click on the form title to access this form. This form must be signed and either faxed or mailed to the Early Steps Enrollment Specialist with required documentation that may include certifications, liability insurance, diplomas, experience, and fingerprint cards for background checks (must be mailed).

Step Three: Complete the required Early Steps Orientation Training on-line training modules.

There are six different provider classes:

1. Licensed Healing Arts
2. Infant Toddler and Developmental Specialist (ITDS)
3. Service Coordination
4. Other Non-Licensed Professional
5. Non-Direct Service Staff
6. Out-of-Network Provider

• Providers in the ITDS and Other Non-licensed Professional classes must submit to a criminal history check, unless you can provide documentation of clearance on a Level II (FBI) background screening within the last five years.
•  Procedure is to first obtain a finger print card from the local Early Steps(pdf - 54kb),  then
• send a "Cashiers Check" or "Money Order" for $47.00 payable to the "Florida Department of Health" to the address found on the terms and conditions of enrollment  form. (pdf - 117kb)
•  If you do not have access to getting fingerprinted or have questions, please call our provider enrollment specialist at 850-245-4200.

Medicaid

Some licensed healing arts providers are required to apply as an Early Intervention Medicaid Provider  which includes completing the following specials forms:

Early Intervention Certification Form, (pdf - 70kb) and
Early Intervention Provider Training form, (pdf - 21kb)
as well as the Medicaid application. (pdf - 155kb)

Providers who are enrolling as Service Coordinators are also required to complete the following special form Medicaid Case Management Training form(pdf - 37kb).

Note that the Medicaid provider application material can be found at http://floridamedicaid.acs-inc.com.

Remember: You must have access to the Internet and have an email address to enroll as a provider and access the required on-line training modules.