- General Contracting
- Provider Qualifications and Credentialing
- Training
- Changing an Existing Contract
- Referrals, Billing and Payment
General Contracting
Q: What is the difference between a traditional and non-traditional provider?
A: A traditional provider is required by state law to have a professional license or certification in order to deliver the service they are contracting with ATCIC to deliver (i.e. physical therapy, nursing, psychologist, etc.). A non-traditional provider provides services that do not require a professional license or certification (i.e. mentoring, parent coaching, respite, etc.)
Q: How do I get a list of services ATCIC contracts for and the rate of payment for those services?
A: For a service listing and rate information, please contact the Contract Manager.
Q: Do I get any employee benefits as a Contract Provider on the ATCIC Provider Network?
A: No
Q: How do I get assistance completing the application?
A: For application assistance, please contact the Contract Manager.
Q: Can I provide services to a family member?
A: Most non-traditional provider services can be provided by family members who are contracted with ATCIC to provide those services. Services cannot be provided by anyone who lives at the same residence as the person receiving the services, with the exception of adult foster care. Parents of minor children cannot provide services to their minor children. A licensed traditional contract provider cannot provide the licensed service to a family member.
Q: How long will it take to get my contract in place?
A: Once a correctly completed application packet is submitted, it usually takes 3 to 6 weeks to get a contract executed. An incomplete application will not be processed.
Provider Qualifications and Credentialing
Q: What do I do if the service I want to provide requires a High School Diploma or GED and I don’t have one?
A: All non-traditional services require at minimum a High School Diploma or GED. If you do not meet this requirement, you are not eligible to provide these services.
Q: What if I don’t have a social security number?
A: You must be legally eligible to work in the United States of America as verified by the submission of required I-9 documents. A list of accepted I-9 documents can be found at http://www.uscis.gov/i-9
Q: How do I get a Federal Employer Tax Identification Number?
A: Organizations applying for Network participation must have a Federal Employer Tax Identification Number. You can apply for a Federal Employer Tax Identification Number, click here.
Q: What criminal offenses will bar me from getting a provider contract with ATCIC?
A: For a list of criminal offenses, the conviction of which constitute an absolute bar to contracting for the provision of services, click here. Conviction of other types of criminal offenses not listed may be considered a contradiction to contracting for the provision of services as determined by ATCIC.
Q: Do I need a fire inspection?
A: A fire inspection of a provider’s residence is required if the provider will deliver services in that residence. Fire inspections are also required for facility-based service locations.
Q: How do I obtain a fire inspection?
A: Fire inspections are conducted by the local fire safety authority in your area. In Austin, you can schedule an inspection by calling (512) 974-0160 between 7:30 AM and 5:00 PM or emailing FirePrevention@ci.austin.tx.us. If the property to be inspected is outside the City of Austin, please contact 211 to get the contact information for your local fire safety authority.
Q: Will I get reimbursed for the cost of a Fire Inspection?
A: No
Training
Training, please go to the Provider Training section.
Changing an Existing Contract
Q: What do I do if I want to add or remove services to/from my contract?
A: You can request your contract be amended to add or remove services by submitting a written request to the Contract Manager. If the request is approved, an amendment will be completed.
Q: How do I change from a Family Specific Provider to a full Network Provider?
A: You can request your contract be amended to remove the Family Specific restriction by submitting a written request to the Contract Manager. If the request is approved, an amendment will be completed.
Questions about Referrals, Billing, and Payment
Q: How do I get referrals?
A: Once your contract is executed, your name will be placed on a list of Network Providers. Individuals/Families eligible for services choose their Providers from among those contracted to provide services on our Network. Once you are chosen by an Individual/Family, you will be contacted by that Individual/Family or by the staff assigned to coordinate their services. Because Individuals/Families choose their own Providers from our Network, ATCIC cannot guarantee you will receive any referrals or any pre-determined number of referrals.
Q: Will someone show me how to do the required paperwork to get paid?
A: Yes. Once your contract is executed, you will be required to take training on how to document service delivery and submit invoices for payment. To schedule Documentation and Billing Training, please contact the Contract Manager.
Q: Where do I get the Invoice and Service Delivery Records?
A: Invoice and Service Delivery Records can currently be obtained at the ATCIC office located at 5225 N. Lamar or at the ATCIC office located at 1717 W. 10th Street.
Q: Can I complete the Invoice and Service Delivery Records electronically?
A. Yes, Electronic Forms can be obtained by contacting the Contract Manager. Please note we cannot accept electronic signatures at this time. Providers completing the forms electronically will need to print them off and sign them by hand prior to submission for payment.
Q: Can I submit Invoices and Service Delivery Records for payment electronically?
A: No. Invoices and Service Delivery Records cannot be e-mailed or faxed and should be hand-delivered or mailed to the applicable address on the Invoice Form.
Q: When are my Invoice and Service Delivery Records due?
A: All Invoices and Service Delivery Records for services provided in the current month must be received no later than the 3rd business day of the following month in order to be considered for payment.
Q: What if I can’t make it to the ATCIC Claims Office to deliver my billing documentation before it closes for the day?
A: ATCIC's Claims offices are located at 5225 N. Lamar and at 1717 W. 10th street. Both have secured outside drop boxes at the front of the buildings where you may turn in your billing documentation after hours.
Q: Can I email or fax my billing documentation?
A: No, billing can not be faxed or emailed. ATCIC requires the original billing documentation and signatures. Sending identifying information via email or fax is a confidentiality violation.
Q: Can I mail in my billing documentation?
A: Yes, billing documentation can be mailed to ATCIC, but services billed for the current month must be received at ATCIC's Claims Office no later than the 3rd business day of the following month to processed for payment.
Q: How long does it take to get paid?
A: Contractually, ATCIC has 30 days from the date a correctly completed invoice is submitted to process payments.
Q: Can I pick up my payment in person?
A: No. Checks are mailed through the U.S. Postal Service.
Q: Do you provide Direct Deposit for Provider payments?
A: No.
Q: How often will my billing be reviewed?
A: Your Invoices and Service Delivery Records will be reviewed each time they are submitted during the first three months you begin billing for services. Thereafter, they will be reviewed at least annually or more often as needed.
Q: Will a billing review delay my payment?
A: No, a billing review will not cause a delay in processing a correctly completed invoice.
Q: Whom do I contact if I have questions about my billing and payment?
A: Please contact the ATCIC staff person who supervises billing and payment for the service area from which your authorization was generated. Contact information can be found at the top of the Provider Invoice.
Q: What if I disagree with a billing denial or audit result?
A: You have 30 days from the date on the denial letter to resubmit the part of the claim that was denied. It is usually helpful to contact the staff person who wrote the denial letter and request an informal reconsideration or to request technical assistance on how to correct and resubmit billing for the denied services. You can also ask for an appeal of the decision by contacting the ATCIC Ombudsman at 440-4086 within 15 days of the date of the denial letter.
Q: Does ATCIC take taxes out of my claims payment?
A: No, but we are required to report the income you receive to the Internal Revenue Service.
Q: Will I receive a 1099 form for tax purposes?
A: Yes.
