LifeStream Services currently works with over 60 provider partners who assist with services such as homemaking, home health aide, nursing and supplies.
Below are the application materials to apply to be one of LifeStream’s providers.
Please note: Effective April 1, 2004, to be a CHOICE Provider, you must also provide Medicaid Waiver services. As a result, LifeStream Services, Inc. requires each CHOICE provider to enclose a copy of the letter from EDS showing their Medicaid Waiver Provider Number. No provider will be contracted or paid for CHOICE services without their Waiver number on file. In the event you are not currently a Medicaid Waiver provider, a letter showing Certification of Provider Enrollment is required.
Questions? Please contact Tony Suttle, Quality Control Manager, at 765-759-1121 or email@example.com.
Provider Application Packet for FY2023
Completed documents must be mailed to LifeStream at 2404 National Road West, Richmond, IN 47374
We will review the applications to get them approved and updated in our system as soon as possible. These contracts will run current through June 30, 2023.
- New Application Checklist – please review complete document to ensure all requirements are met.
- Application Partner Funding and Service Pages
- Assurances for FY23
- Drug-Smoke Free Smoke Policy
- Provider Partner Agreement for FY23
February 10, 2022 Provider Meeting – Jenny Hamilton, LifeStream President and CEO and Eastern Indiana Works