Home
Forms Library
FMS-Provider Services - Allied Community Resources

FMS-Provider Services - Allied Community Resources 2026

FMS-Provider Services - Allied Community Resources Preview on Page 1

See details

4.4 out of 5

41 votes

The document outlines the Provider Agreement for individuals offering Home and Community-Based Services under the Connecticut Medical Assistance Program (CMAP). It details the responsibilities, requirements, and prohibited activities for service providers, including compliance with federal and state laws, accurate reporting of services, and maintaining participant confidentiality. The agreement also addresses audits, payment recoupment, and termination conditions, emphasizing the importance of ethical conduct and adherence to program regulations.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out FMS-Provider Services - Allied Community Resources with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the FMS-Provider Services - Allied Community Resources document in the editor.
Begin by entering your name in the designated field at the top of the form. This identifies you as the provider.
Review and acknowledge each general requirement listed. Ensure that all information provided is accurate and complete, as this is crucial for compliance.
Fill out any additional fields related to your qualifications and services you intend to provide. Be thorough in detailing your experience and credentials.
Carefully read through the prohibited activities section. It’s important to understand what actions could jeopardize your standing as a provider.
Sign and date the agreement at the bottom of the form, confirming your understanding and acceptance of all terms outlined.

Start using our platform today to easily fill out your FMS-Provider Services form for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the alliance districts in CT?

Alliance Districts are local school districts identified as among the 36 lowest-performing school districts in Connecticut.

How much does Allied Community Resources pay?

The average Allied Community Resources hourly pay ranges from approximately $17 per hour (estimate) for a Caregiver/Companion to $49 per hour (estimate) for a Graduate Nurse Residency.

What are the Allied community programs in CT?

Allied Community Programs provides programs and services for people with intellectual and developmental disabilities from towns throughout North Central Connecticut. These include Residential Services, Employment Services, Day Services, Autism Services, Transportation, and Self-Advocacy.