Providers > Waiver Provider Enrollment Documents
- APD Provider Enrollment Letter of Intent - PDF
- APD Provider Enrollment Letter of Intent - Word
- Letter of Intent Instructions and FAQs
- Provider Enrollment Applicant Checklist - Solo
- Provider Enrollment Applicant Checklist - Agency
- Provider Reference Form
- Attestation of Good Moral Character
- Provider Expansion Request Form
- Regional iBudget Enrollment Application - Waiver Support Coordinator (WSC)
- Regional iBudget Provider Enrollment Application - Non WSC