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