|1||Log into the eLicense system using the instructions DSAP Online Add/Remove Services Instructions. If existing qualified provider and UserID and password are not known, please contact DDS.ProviderApplications@ct.gov
If first time logging into eLicense, then follow step #1 DSAP Online Initial Application Instructions.
If the services you are applying to provide moves up to a higher service category (see: Provider Minimum Qualifications), submit Executive Director’s resume.
Note: If applicable, additional policies may be required to be submitted. all required policies must be accepted and on file. Each policy must be submitted as a separate document.
Ensure you have the following documents ready to be uploaded to the eLicense website:
c. If adding clinical behavioral supports, see Clinical Behavioral Consultant Requirements.
d. If adding Healthcare Coordination, see Healthcare Coordination Requirements
e. For other supports, see detailed service definitions on the Waiver Services page.
Instructions to Upload Documents to the eLicense website:
Logon to the eLicense website (https://www.elicense.ct.gov)using the provided information, then go to Online Services, then Upload Requested Document and follow the instructions.
The clinical director will interview the clinician for Healthcare Coordination, Clinical Behavioral Supports (PBS only), Parenting Support and Peer Support.
For questions, please contact DDS.ProviderApplications@ct.gov