Requests for this request can be directed to the New York State Department of Health, Bureau of Early Intervention at the address above, by phone at (518) 473-7016 or by email at provider@health.ny.gov. Suppliers seeking service authorizations for early intervention services directly from a municipality and municipal payments for such services must complete and comply with Schedule 1- Payee Provider Agreement/Service Authorizations and Payment. Appendix 1 sets out the terms of these authorizations and payments. The National Center to Improve Recruitment and Retention of Qualified Personnel for Children with Disabilities (Personnel Improvement Center) is a federally funded technical assistance and outreach project funded on October 1, 2008. Its mission is to increase the country`s capacity to recruit, prepare and retain specialized educators, early intervention providers and related service providers, including para-professionals, to meet needs. In addition to the Director of the Early Intervention Program, there must be at least two qualified staff (QP) or service coordinators who meet the qualifications in accordance with 10NYCRR 69-4. Both MQs must provide people with disabilities with at least 20 hours of assessment, coordination of service or services per week. List all managed care plans that recognize the Agency as an approved or inter-institutional provider. (annex #________) Consider the options for the early intervention service you want to set up there: circle languages and other forms of communication that can be used by agency agents who provide early intervention services. English is accepted and therefore does not appear.

The information in the list was last updated on September 30, 2020. Approval of additional suppliers and/or personnel changes is ongoing and the directory is therefore updated regularly. Current suppliers with ancillary agreements that wish to review or add information recorded in the central directory (particularly mission, experience, county/district service coordination) can do so by contacting the Office`s Supplier Authorization Agency (provider@health.ny.gov) for a copy of the Request to Revise Central Directory Information. Fill out the table below showing how many officers the Agency intends to deploy to provide early intervention services. As part of your agency`s authorization to provide early intervention services, we will establish a first list of executives/stakeholders and collaborators/contractors in our database (NYEIS). Please fill out and fax (518-486-1090) – Warning: Child care providers Kelly Callahan should make recommendations to 311 and fill out the Recommendation Form for Early Intervention Programs (PDF) or send faxes to the regional office of the child`s place of residence. This supplier agreement is concluded by and between the New York State Department of Health (`Department`) and______________________________________________________________________________________________________________ [NYS Provider ID/State ID] – The supplier acknowledges that this agreement is concluded by and between the department and the supplier, as the supplier is currently organized and formed or presented.

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