460 IAC 6-6-2 Initial application

Sec. 2. To receive initial approval as a supported living services or supports provider, an applicant shall submit the following for each supported living service or support for which the applicant is seeking to be an approved provider: (1) An application on a form prescribed by the BDS. (2) Evidence that the provider meets the qualifications for each supported living service or support that the provider is seeking to be approved to provide as specified in this article. (3) Supporting documents specified on the application form to demonstrate the applicant's programmatic, financial and managerial ability to provide supported living services or supports as set out in this article. (4) A written and signed statement that the applicant will comply with the provisions of this article. (5) A written and signed statement that the applicant will provide services to an individual as set out in the individual's CCB, ICLB, and ISP.