Treasure Coast Early Steps Program Provider Page
WE ARE ACTIVELY RECRUITING NEW PROVIDERS!
New enrollment for providers working in the natural environment as well as via telehealth. Must have one year of hands-on experience working with infants and toddlers with special needs and their families. Must have a Florida professional license and Florida Medicaid Therapy provider number.
Please call Angie Gonzalez at 813.812.5304 or email at agonzalez@fl.easterseals.com for enrollment information.
Note: APPLICATION FOR EARLY STEPS PROVIDER ENROLLMENT DOES NOT GUARANTEE APPROVAL.
- Click here to view the "Early Intervention Specialists: Making a Difference" video.
2020 - 2023 Provider Enrollment Documents - to be completed after initial meeting with Angie Gonzalez (contact information above)
- Enrollment Checklist
- Enrollment Checklist - Adding Staff to Agency
- W-9
- TCES Insurance Requirements
- Workers Compensation Coverage Form & Instructions
- Minority Business Status Form
- ACH Direct Deposit
- NPI Registration form
You will need your NPI number before you apply for your medicaid number
To complete your medicaid application, CLICK HERE and then go to "Provider Services" > Enrollment > Online Enrollment Wizard and follow the instructions listed.
*Please note, you MUST complete an application for each type of Medicaid number you are applying for. - E-Verify Memorandum of Agreement (For New agencies and/or providers being added to an agency only)
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PROVIDER RESOURCES
Links to information on serving children in natural environments and the
Team-Based Primary Service Provider (PSP) approach to early intervention:
- http://coachinginearlychildhood.org/nlepractices.php
- http://www.nectac.org/topics/families/families.asp
Frequently Used Forms
- Collateral information to prepare for IFSP Team meetings
- IFSP Meeting Participant Documentation Form
- Consultation Form
- Electronic Consultation Form
- Community PSP Team Visit Note
- Assistive Technology Assessment
Treasure Coast Early Steps
Contact Information
ACCOUNTING TEAM
Billing Mailing address:
2010 Crosby Way
Winter Park, FL 32792
P: 407.629.7881
F: 407.306.9767
PROVIDER BILLING SPECIALIST
Jeanne Moore, 561.881.2822, ext. 19554
jmoore@fl.easterseals.com
ENROLLMENT/INSURANCE
Angie Gonzalez
P: 813.812.5304
F: 833.860.7212
agonzalez@fl.easterseals.com
TCES Billing Instructions & Information
- Common Billing Problems
- Billing Tips
- TCES Form IAR
- Blank Travel Log
- Sample of Travel Log
- TCES Form Invoice - WPB
- TCES Form Invoice - Port St. Lucie
- Travel Reimbursement Requirements
