Provider Qualifications
PROVIDER QUALIFICATIONS
911 KAR 2:150 Summary Table of Qualifications for Professional Personnel General Roles of Professional Disciplines Summary Table of Qualifications for Paraprofessional Personnel General Roles of Paraprofessional Disciplines Provider Enrollment Forms for Downloading/Printing Requirements and Procedures for Becoming a Developmental Interventionist
Credentialing Requirements for Developmental Interventionist New Teacher Standards for Preparation and Certification: Interdisciplinary Early Childhood Education Birth to Primary (Kentucky Education Professional Standards Board, January 1995) Form 7: First Steps Professional Development Plan for Developmental Interventionist (DI) Achieving the Interdisciplinary Early Childhood Education (IECE) Certification Requirements and Procedures for Becoming a Primary Service Coordinator
Credentialing Requirements for Primary Service Coordinator Requirements and Procedures for Becoming a Primary Developmental Evaluator*
Credentialing Requirements for Primary Level Evaluator * Primary Developmental Evaluator may also be referred to as a Primary Level Evaluator (PLE) or Primary Evaluator
Provider Enrollment Forms for Downloading/ Printing
The following forms are in pdf format and require Acrobat Reader version 4.0 or later. Click here to download the reader.
Instructions - Form 5: Provider Agreement Instructions - Form 6: First Steps Central Billing and Information System (CBIS) Enrollment Form Instructions - Form 8: Electronic "Billing" Media Addendum
Instructions - Form 7: First Steps Professional Development Plan for Developmental Interventionist (DI) Achieving the Interdisciplinary Early Childhood Education (IECE) Certification (Required for DI who does not presently have certification as required in 911 KAR 2:150 Section 1 (c). Form 5: First Steps Provider Agreement Form 6: First Steps CBIS Provider Enrollment Form 9: Codes of Disciplines (A list of discipline codes that must be included on Form 6) Form 8: First Steps Provider Agreement Electronic Media Addendum Form 7: First Steps Professional Development Plan for Developmental Interventionist (DI) Achieving the Interdisciplinary Early Childhood Education (IECE) Certification (Required for DI who does not presently have certification as required in 911 KAR 2:150 Section 1 (c).
Department for Public Health/Division of Adult and Child Health Improvement/ First Steps 275 East Main Street Frankfort, KY 40621 (502) 564-2154 Questions or Comments Updated: 07/19/2004
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