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The most current versions of the forms can be found under: Program Operations > Hoursing Inspections

Effective March 15, 2014

The Department of Intellectual and Developmental Disabilities (DIDD) Provider Manual, Chapter 5.8. Provider Governance, section 5.8.a.8 and 5.8.b.5 respectively addresses required orientation for not-for-profit and for-profit providers:

  • 5.8.a.8: The Board chairperson and the chief executive officer/executive director are required to attend a DIDD new provider orientation within ninety (90) calendar days of assuming office or complete the online equivalent.
  • 5.8.b.5: Within ninety (90) calendar days of being appointed or beginning contracted services with DIDD, the executive director is required to attend a DIDD new provider orientation or complete the online equivalent.

The DIDD New Provider Orientation class is conducted in each DIDD Region.  DIDD highly encourages the new provider (chief executive officer, executive director, or other administrator responsible for executing contracts and board chair) to attend the regional orientation class.  Existing providers who wish to attend are also welcome.

To complete the online New Provider Orientation, go to the Agenda section below. Then click each topic title to access and read  the information.  For additional information about the specific topic, e-mail the person listed in the contact section. 

IMPORTANT NOTE:  If you choose to review the online New Provider Orientation materials prepared by DIDD in lieu of attending the New Provider Orientation class, please review the information carefully.  Upon completion of your review, sign, date and retain a copy of the New Provider Orientation Acknowledgment Form, as it must be available for review by Quality Assurance staff during future surveys.

New Provider Orientation Acknowledgment Form 

For more information, contact Linda Maurice, Provider Enrollment Coordinator at (615) 532-6568 or

Topic Contact
Provider Agreement Process

Julia Jinnette

Contract Services

Title VI Training, Civil Rights Act of 1964

Title VI Policy

Notification Form (English / Spanish)

DIDD Title VI Self Survey Form (Sample)

DIDD Title VI Self-Survey (2018)

How to File a Complaint

Provider Protocol

Division of Advocacy Services & Customer Focused Services

Vickey Coleman, Ph.D.

Office of the Commissioner
Director, Office of Civil Rights
State Director of Customer-Focused Services

For Employment and Day Services Information , go to the DIDD home page click the link Community Services/Employment First.



Director, Employment and Day Services

New Provider Orientation Person Centered Practices

Shalita V. Wells

Director of Person Centered Practice

Supported and Semi-Independent Living Housing Inspection Form​

Supported and Semi-Independent Living Request for Inspection Form

Home Closure/Change to New Agency Form for Supported and Semi-Independent Living

Crissonya Phillips

Director, Residential Services

Grier Revised Consent Decree


Jon Hamrick

Director, Medicaid Affairs


HIPPA Secure Email Guide

Simone Cuarino

Director, Federal Lawsuit & HIPAA Compliance

Division of Clinical Services New Provider Orientation Division of Clinical Services

DIDD Investigators

Reportable Incident Forms


Director, Incident Management

Quality Assurance Overview

Joe Kirkpatrick

Deputy Director, Quality Assurance


Reporting Fraud, Waste and Abuse of Government Funds and Property - Policy 70.2.1

Recoupment - Policy 80.4.5

Daven.N. Harrell

Director, Risk Management and Licensure

Fiscal Accountability Review (FAR)

Pat Nichols

Assistant Commissioner, Quality Management