ND QSP Hub
North Dakota's centralized source of support and information for Qualified Service Providers

QSP Agency Enrollment

To apply as an Agency Qualified Service Provider, you will need to access the following:

Training Videos

Take time to watch the trainings below to get an idea on how to start with the QSP agency process.

  • Things to Know – Agency
    Duration: 3:47 minutes
    If you are considering starting an agency, there are many important things to know prior to starting your agency application. This video will walk you through a few of the important things to know, prior to getting started with your agency application.
  • QSP Onboarding Training Tutorial
    Duration: 4:56 minutes
    This video will walk you through the steps for completing the required QSP Onboarding training for enrollment.
  • NPI Number
    Duration: 2:46 minutes
    NPI stands for National Provider Identification Number. This number is needed for the application process.
  • SFN 749
    Duration: 4:01 minutes
    The SFN 749 is the Document of Competency form that must be completed for each employee providing direct services within your agency. This video will provide you with a basic overview of this form and its requirements.
  • Acceptable Identification
    Duration: 0:30 seconds
    This video explains the types of identification that are acceptable to be uploaded into the web portal.
  • Fraud, Waste, and Abuse Training
    Duration: 2:38 minutes
    Fraud, Waste, and Abuse (FWA) is a training that is required for all QSPs. This video will walk you through the process in obtaining a FWA certificate.
  • Services
    Duration: 0:56 seconds
    There are a variety of different services you can provide as a QSP. This video will explain why it is important to understand service definitions and requirements before selecting services within the application.
  • SFN 55: Cost Report
    Duration: 4:23 seconds
    The SFN 55 is the Cost Report for Rate Determination form. This video will explain the purpose and importance of completing this form accurately.
  • SFN 1168
    Duration: 1:29 seconds
    The SFN 1168 is the Controlling Interest and Conviction form. This video will provide a basic explanation of why this form is needed, and the information you will need to include on the form.

TrainND

Providers who are not self-employed, but are hired by an agency to deliver services, may utilize TrainND Northeast for training and competency evaluation as a contracted service. Training may be arranged depending upon the needs of the organization. Agencies interested in in-home care training, and SFN 750 Documentation of Competency completion for their employees, can inquire with TrainND Northeast by phone at (701) 662-1578 or 1 (800) 443-1313 ext. 21578 or by email at LRSC.trainnd@LRSC.edu.

Additional Resources