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Sample Provider Documentation

Unsure how to change your certification record? Need to see a sample of how to document NMT trips? We are here to help. Below is a library of basic Provider documentation to help you with everything from NPI to PNM.


  1. Documentation basic- HPC -Blank
  2. Documentation basic- HPC -Example
  3. Documentation basic- HPC Transportation – Example
  4. Documentation basic- HPC Transportation -Blank
  5. Documentation basic- Shared Living HPC -blank
  6. Documentation basic- Shared Living HPC -example
  7. Documentation basic-NMT daily Veh inspection-month long
  8. DODD Training+Documentation Proof
  9. NMT (Per Trip) New 2020 -non modified under 5 passenger- Blank
  10. NMT (Per Trip) New 2020 -non modified under 5 passenger- example using 1 client only

Provider Information

  1. Adding A New NPI Number to an Existing Provider Profile
  2. Billing
  3. Important Contact Information
  4. Independent Provider Overtime procedure-summit dd
  5. Making Changes Online to NPI registration
  6. Medical or other appointments
  7. Medications & Administration
  8. NPI-National Provider Identifier Reference Guide-full guide to get NPI #
  9. NPI-Taxonomy guide for DODD waiver providers
  10. PNM for EXISTING PROVIDER -add services and make changes applications and activate counties
  11. Provider Compliance Reviews
  12. Recertification
  13. Timelines Information

Need Additional Help?

Can’t find what you’re looking for? Our Provider Relations team is availble to help. You can reach them by email at Provider Relations or by phone at 330-634-8110.

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