LifeStream Services currently works with over 60 provider partners who assist with services such as homemaking, home health aide, nursing and supplies.
We are starting our next two-year contracting cycle with providers. Below is the application materials to apply to be one of LifeStream’s providers.
Please note: Effective April 1, 2004, to be a CHOICE Provider, you must also provide Medicaid Waiver services. As a result, LifeStream Services, Inc. requires each CHOICE provider to enclose a copy of the letter from EDS showing their Medicaid Waiver Provider Number. No provider will be contracted or paid for CHOICE services without their Waiver number on file. In the event you are not currently a Medicaid Waiver provider, a letter showing Certification of Provider Enrollment is required.
Questions? Please contact Tony Suttle, Quality Control Manager, at 765-759-1121 or firstname.lastname@example.org.
Provider Application Packet for FY2022
Completed documents must be mailed to LifeStream at 1701 Pilgrim Blvd. Yorktown, IN 47396.
Applications must be submitted by 5pm on Friday, June 4, 2021. We will review the applications to get them approved and updated in our system by the July 1, 2021 contract start date. These contracts will run July 1, 2021 to June 30, 2023.
- New Application Checklist – please review complete document to ensure all requirements are met.
- Provider Letter – Current Providers
- Provider Letter – Potential New Providers
- Application Partner Funding and Service Pages
- Assurances for FY22
- Drug-Smoke Free Smoke Policy
- Provider Partner Agreement for FY22