The Provider Process

Contact the ISN Lead Provider Specialist

ISN Lead Provider Specialist:
971-382-2270
providercoordinator@goisn.org

Submit Required Documents

We will need a valid copy of your identification to order a Criminal History Check. If you plan on providing transportation services we will need copies of a valid driver's license and auto insurance.

Complete the Online Criminal History Check (CHC)

You will receive an email from ORCHARDS with instructions for completing the CHC.

Complete the DHS Provider Enrollment Application Agreement (PEAA)

Return the completed application to the Oregon Department of Human Services

Department of Human Services
ODDS Contracts and Provider Administration Unit
500 Summer St., NE E-09
Salem, OR 97301

OR

Email: PSW.Enrollment@odhsoha.oregon.gov
Fax: 503-947-5044

Complete Carewell Training

You will need to complete an in-person Carewell Orientation Training to receive your provider number. Once received, you will be able to complete the two additional training courses that are required.

Complete Public Partnerships (PPL Packet)

PPL is the fiscal agent the State has contracted with to process payroll for PSWs and take care of Employer related tax requirements.

For follow up or questions about the packet contact PPL customer service:

Public Partnerships LLC
1-888-419-7705 or
pplorfmas-cs@pplfirst.com

Complete the Personal Support Worker Information and Acknowledgement Form and Mandatory Abuse Reporting training with an ISN staff member

Complete eXPRS User Enrollment

Sign a Service Agreement

You will participate in a meeting with the Individual served, Common Law Employer, and the ISN Personal Agent to review and sign a Service Agreement. No paid services may be provided to the Individual until the Service Agreement is signed by all parties.

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