New providers enrolling into First Steps must complete the enrollment process in the order outlined below.

Step 1: Submit enrollment paperwork to the Central Finance Office (CFO). The date the CFO receives any enrollment forms or information submitted by the Provider starts a pending account. The Provider has ninety (90) days from the beginning of a pending account to complete all enrollment requirements and achieve an active account. All required forms for new providers enrolling in Missouri First Steps are listed below:

• Service Provider Enrollment Checklist
• Service Provider Information Form
• Service Provider Agreement
  • Section 4.3 Indemnity: The provider or agency should select the third option labeled “FOR OTHER THAN STATE ENTITY” unless the provider or agency enrolling is a state entity or other political subdivision.
  • Section 11.2: Search for your Medicaid National Provider Identifier Number here. 
  • Agreement must be completed and returned in its entirety. 
• Family Care Safety Registry
• Certification for Online Claims
• Electronic Signature
• User Online Access Request Form
• W-9
• EFT/Direct Deposit Authorization

Step 2: Receive acknowledgement of pending account email from the CFO.     

Step 3: Complete MOVECHS Waiver Agreement and Statement and send the agreement to EarlyIntervention@dese.mo.gov. Important! The waiver must be signed, dated, and submitted to DESE after acknowledgement email is received and prior to the date of fingerprinting. Electronic signatures are not accepted. 

Step 4: Receive fingerprint instructions via email from DESE Early Intervention Compliance Staff.

Step 5: Complete the fingerprint process according to the instructions provided from DESE staff.

Current First Steps providers who need to change any information regarding their First Steps account must complete the Service Provider Information Form as well as any applicable forms to address the change needed.

Service Provider Ongoing Enrollment Checklist - First Steps providers can use this checklist to ensure ongoing enrollment requirements are met to keep the provider account active and in good standing.

All required forms for new family members who enroll in Missouri First Steps to provide transportation are listed below:

• Family Member Transportation Enrollment Checklist
• Family Member Transportation Enrollment Form
• W-9
• EFT/Direct Deposit Authorization
• Transportation Billing Form - Blank
• Transportation Billing Form - Instructions and Completed Example