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Service Fee Directory

Service Fee Directory Help

If you have previously  filled out a Service Fee Directory Enrollment Form, but have not received a User Name and password in the mail, please DO NOT re-enroll. 

Contact the CSA Office for assistance.

Instructions for Adding/Modifying/Updating Provider Information on the Service Fee Directory

Welcome to the SERVICE FEE DIRECTORY (SFD). The SFD provides information developed to assist the general public, local governments and providers of services to share information regarding the availability of services and fees for those services.

This section provides guidance to providers to add, delete or modify information regarding their facility. Only providers can add, modify or update their facility information. Each provider in the SFD has received a User Name and password. In order to add, modify or update information in the directory, the provider must be logged on as the same User Name that originally entered the record. This ensures that only the provider can change their information.There are two sections to the SFD where information is reported:

General Provider Information and Service/Rate Information.
The General Provider Information provides demographic information regarding the vendor such as legal name, location, admissions contact, billing methods etc. The Service/Rate Information identifies the service(s) provided by the provider (from a pre-defined list of 22 services), along with rate information, characteristics of the child the service treats, etc.

I. General Provider Information- Initial Entry of Information or Modifying Existing Information

This section pertains to either current providers desiring to modify or adjust existing information housed in the directory or new providers entering GENERAL PROVIDER INFORMATION the first time.

Instructions for entering GENERAL PROVIDER INFORMATION:

1. On the SFD home page, click on the Update Info icon. 

2. You will be prompted to enter your User Name and password. Once this information in keyed, click on submit. 

3. The Provider Log In Screen will appear.  Click on the name of the provider that you are updating.

4. The screen for General Provider Information will appear. 

5. The first item you will see is Legal Name category. For new providers, this line will be completed for you based on the initial request for the facility to be placed on the Service Fee Directory. 

6. Complete all categories that are applicable adhering to the following guidelines. Use the tab key or mouse to move to the applicable category.

Field	Type	Instructions
Legal Name	Alpha	Enter the name of the vendor/facility (40 characters)
Trading as Name	Alpha	Enter trade name (if different from above) (40 characters)
Address 1	Alpha/Num	Enter the street address or P.O. Box number (25 characters)
Address 2	Alpha/Num	Enter the street address or P.O. Box number (25 characters)
City	Alpha	Enter city where business address is located (15 characters)
State	Alpha	Enter the 2 character abbreviation for state
Zip Code	Numeric	Enter the 5 or 9 digit zip code
E-mail address	Alpha/Num	Enter the facility e-mail address
Web Page	Alpha/Num	Enter the facility web site address
Federal ID#	Numeric	Enter the facility Federal tax ID #
Billing Methods	Alpha	Enter the method, period or timeliness by which you would like to receive payment for services rendered (25 characters)
Contact/Admissions	Alpha	Enter the name of the official admissions contact person for this facility (25 characters)
Phone/Admissions	Numeric	Enter the area code and phone number of the Admissions representative
Contact/Administrator	Alpha	Enter the name of the official administrative Administrator contact for this facility (25 characters)
Phone/Administrator	Numeric	Enter area code and phone number of administrative representative
TDD#	Numeric	Enter area code and phone number of any Telecommunications Device for Deaf
Fax Number	Numeric	Enter the area code and facility fax number
Public Provider	Y or N	Are you a public provider? (Click box to place a check ” if yes, leave blank if no)
Private Provider	Y or N	Are you a private provider? (Click box to place a check” if yes, leave blank if no)
Licenses	Alpha	List all pertinent licenses and accreditation’s (100 accreditation’s characters)
Acceptable Forms of Payment:   (Click box to place a check, if yes, leave blank if no)
Statepool	Y or N	Does this provider accept Statepool funding? (Click box to place a check” if yes, leave blank if no)
Medicaid	Y or N	Does this provider accept Medicaid funding? (Click box to place a check” if yes, leave blank if no)
Insurance	Y or N	Does this provider accept insurance payments?
Champus	Y or N	Does this provider accept Champus? (Click box to place a check, if yes, leave blank if no)
Private Funding	Y or N	Does this provider accept private funding?
Parental Payment	Y or N	Does this provider accept parental payments?
Bulletin Board	Alpha	This is a free form area that allows for the posting of special or current events. You may enter any information regarding you facility (500 characters)
Description/Philosophy	Alpha	An additional freeform area that allows for the Philosophy general description of your facilities, programs and philosophies (500 characters)
Geographic Locations	Alpha	Freeform area allowing the facility to report the Locations geographic regions you either serve or accept Individuals (50 characters)
Non-profit Facility	Y or N	Is this a non-profit facility? (Click box to place a check , if yes, leave blank if no)
Religious Affiliation	Y or N	Do you as a provider have Religious affiliation? (Click box to place a check if yes, leave blank if no) If yes, please explain in the box below this question.
Services to Government Agency	Y or N	Have you ever sold services to a government agency? (Click box to place a check” if yes, leave blank if no)

7.  Once you have entered all pertinent information, click on SAVE. II. Adding a New Service
This section pertains to adding a new service offered by the provider that is not currently offered in the current menu of provider services. Again, the provider must adhere to the 22 pre-defined service listing.

1. Click on the Update Info icon. 

2. You will be prompted to enter your User Name and password. Once this information in keyed, click on submit. 

3. The Provider Log In Screen will appear.  Click on the name of the provider that you are updating.

4. The screen for General Provider Information will appear. Click on the Add New Services icon located at the top of the screen, near the vendor number. 

5. The Add New Service screen containing a drop down box of all Services Provided will appear.

6. Using the drop down box, select the service from the pre-defined list of 22 services you desire to add. Click on Submit.

7. The Services Provided screen will appear.Note:  You are allowed to have more than one listing of the same service. However, if you have an unintentional duplicate listed, click on the DELETE option to the right of the screen next to that service.

III. Adding/Modifying/Updating Service/Rate Information
This section pertains to adding, modifying or updating information regarding service information offered by the facility including the rate of the applicable service. Additionally, each service includes a section for the facility to record the child characteristics appropriate for that service.Use the following procedures to add, modify or update information on an existing service for your facility reported in the SFD. (See instructions above to ADD a new service.)

1. On the SFD home page, click on the Update Info icon. 

2. You will be prompted to enter your User Name and password. Once this information in keyed, click on submit. 

3.  The Provider Log In Screen will appear.  Click on the name of the provider that you are updating.

4. The screen for General Provider Information will appear. Click on the Edit Existing Services icon located at the top of the screen, near the vendor number. 

5. The Services Provided screen containing a listing of all services will appear. (If you do not see any services listed, you need to follow the instructions in part II for Adding Services.) 

6. Click on the Edit icon to the right of the screen next to the Service of which you desire to add, modify or update information. 

7. The screen with detail information for the selected service will appear. Complete all categories, as applicable, adhering to the following guidelines: (Note: You may use the tab key or the mouse to move to the appropriate category.)

Field	Type	Instructions
Residential	Info	Click Box for "check" if residential. If the service is a non-Residential, leave blank.
Male	Info	Click Box for "check" if the service serves male clients; Leave blank if the service does not serve males.
Female	Info	Click Box for "check" if the service serves female clients; Leave blank if the service does not serve females.
Rate	Numeric	Record the maximum rate for the service.
Units	Alpha	Record the type of unit related to the rate. For example, if the rate is $125.00, record per hour, per day, per session, etc.
Min Age	Numeric	Record the minimum age for the child acceptable for this service.
Max Age	Numeric	Record the maximum age for the child acceptable for this service.
Capacity	Numeric	The total number of clients the facility supports for this service.
Licensed	Info	Click Box for "check" if the service is licensed. If not, leave Blank.
Periods Not Offered	Info	Time periods that the Service is not offered.
Service	Alpha	Use this freeform space to provide additional info. Regarding a pre-defined service. For example, if the pre-defined service is Counseling, you may indicate the type of counseling here, for instance, Drug Counseling.
Description	Alpha	Use this freeform space to provide any additional information about this service
Characteristics	Info	There are 24 pre-defined child characteristics. Click to place a "check"  next to any child characteristic applicable to this particular service.  You MUST select at least one of the characteristics listed.

8. Once you have finished this section, click on submit to update or modify information regarding this service. IV. Deleting an Existing Service

Use the following procedure to delete an existing service.

1. On the SFD home page, click on the Update Info icon. 

2. You will be prompted to enter your User Name and password. Once this information in keyed, click on submit.

3.  The Provider Log In Screen will appear.  Click on the name of the provider that you are updating. 

4. The General Provider Information screen will appear. Click on the Edit Existing Services icon located at the top of the screen, near the vendor number. 

5. The Services Provided screen containing a listing of all services will appear.

6. Click on the Delete icon to the right of the screen next to the Service you desire to delete. The service and all applicable information pertaining to that service will be removed.