Agency Provider Information

Information that may assist you.

The Planning and Quality Division is responsible for provider operations in the various Agency on Aging programs (PASSPORT, Assisted Living, Care Coordination, Title-III, Alzheimer’s/Caregiver, HEAP), as well as the Agency’s strategic planning, advocacy efforts, and professional development and training.

Providers of various types may be eligible for participation in Agency programs. The Agency on Aging contracts for the services delivered in each of the various programs. These services include: Adult Day Service, Assisted Living Service, Community Transitions Service, Chore, Congregate Meals, Emergency Response System, Home-Delivered Meals, Homemaker, Home Medical Equipment, Independent Living Assistance, Legal Counseling, Minor Home Modification, Nutrition Consultation, Personal Care, Socialization, Social Work/Counseling, Medical Transportation, and Visiting.

Each program offers a menu of services that include some, but not all, of the above. Below are resources available to the providers



Provider Renewal ImagePASSPORT Provider Renewal Application

In order to view the application please download at minimum Adobe Reader 8.0

 

Instruction Page (57KB)
AAA9 Long Term Care Agency, Non-Agency and Assisted Living Service Provider Form (245KB)
Services You Seek and Assurance Form (44KB)
Passport Service Code (110KB)