440.729.9406

8200 Cedar Road

Chesterland, OH 44026

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Helping People Live, Learn and Earn in Our Community

Becoming a Provider

Click the links below to download forms separately.

Certification Rule Highlights

Certification Rule

How to Become an Agency Provider

How to Become an Independent Provider

Provider Application

Certification Requirements Checklist

Certification Requirements for New Agency Providers

Setting Up a Supplier ID Number

Request for Provider

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Becoming a Provider

If you need to report abuse, neglect or other major incidents, please call 440.478.9029 and download the MUI Toolkit