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Provider onboarding

Complete your provider checklist.

Use this secure onboarding wizard to enter your provider information, confirm consent, and upload the required documents for Blue Hope Behavioral review.

Start onboarding Training hub

Hiring wizard

  • Enter provider information
  • Confirm upload consent
  • Upload by document category
  • Blue Hope receives notification

Required documents

Provider checklist.

Upload the documents you have ready today. If Blue Hope requests more files later, you can return to this page and upload another document category.

1 Provider information 2 Consent 3 Required documents
1. Provider information
2. Consent to submit provider documents

By submitting this form, you authorize Blue Hope Behavioral to receive, store, and review the provider documents you upload for hiring, credentialing, onboarding, compliance, or administrative purposes.

3. Required document upload checklist

Choose the required document category and upload the matching file. You may upload multiple files in one category if needed. Accepted file types: PDF, DOC, DOCX, JPG, PNG, or HEIC. Maximum 15 MB per file.

No document files selected yet.

Civil Rights No file selected
HIPAA 2.0 No file selected
Car Insurance No file selected
Car Registration No file selected
Domestic Violence No file selected
CPR/First Aid No file selected
Company Liability Insurance No file selected
Cultural Competency for Behavioral Health Professionals No file selected
Certificate of CMS/Medicare Fraud, Waste and Abuse Prevention No file selected
Physical Exam No file selected
Local Police Record No file selected
HIPAA No file selected
OSHA No file selected
Security Awareness No file selected
HIV/AIDS No file selected
Workers Compensation Exemption No file selected
Zero Tolerance No file selected
DCF Fingerprints No file selected
Requirements for All Waiver Providers No file selected
RBT/BCBA/BCaBA Certification No file selected
E-Verify No file selected
Driver License No file selected
AHCA Level II BGS No file selected
Affidavit of Good Moral Character No file selected
Medicaid Welcome Letter No file selected
Proof of Residency or Citizenship No file selected
Copy of NPI No file selected
2 Reference Letters No file selected
Social Security Card No file selected
Direct Care Core Competencies No file selected
Resume No file selected
Void Check/Direct Deposit of Business Account No file selected
W-9 No file selected
I-9 No file selected
Company IRS Letter No file selected
Diploma / equivalente No file selected
Handbook No file selected
Contract No file selected
Picture for ID No file selected

Please review your information before submitting. Do not upload client records, Medicaid IDs, session notes, or documents that belong to a child or family.