Thank you for your interest in becoming a provider on our Private In-home Provider List! In order to be placed on the list, you must be clear of any disqualifying crimes as established by the WA State DSHS. https://www.dshs.wa.gov/ffa/disqualifying-list-crimes-and-negative-actions. ISR requires background checks on all providers during the application process and each year while on the list.
If you don't already have an account, you will need to set one up in our database system. It's easy, and it will make it easy for you to update information in the future. Once you set up an account, you can complete the application for processing and if accepted, you will appear on the ISR PIP list within 2 business days.
You will need to upload a copy of your driving license or ID and relevant certifications or licenses eg: CNA, HCA, RN, so please take pictures of them and have them ready to upload when you get to that part of the application form.
Providers that have lived outside of Washington State in the last 3 years, must supply a copy of a completed federal background check at their own cost. If you have lived outside of Washington State in the last 3 years, please upload a copy of your federal background check.
Incomplete forms will not be accepted.
* To apply to become a State contracted individual provider go to: https://www.consumerdirectwa.com/ or call: 866/214-9899