Behavior Services Providers
Effective July 1, 2011, the Lanterman Act (Welfare and Institutions code 4686.31) requires any vendor who provides Behavioral Services as specified in Title 17 of the California Code of Regulations to submit a completed verification form to the regional center for services provided to consumers under the age of 18 years who reside in the family home. The Department is required to post a form which can be used for this purpose. DDS has developed a new form (DS 5862) containing all the information the vendor is required to report. This form, along with instructions, is located on the DDS home page http://www.dds.ca.gov/Forms/docs/DS5862.pdf
The form is available in English, Spanish, Tagalog, Russian, Chinese, and Vietnamese.
The vendor must submit the completed verifications to the regional center with the invoices for the services provided. If the parents or legally appointed guardians of a minor consumer do not submit a verification of services to the vendor, the vendor shall contact the regional center.
Vendors in the following service codes must submit completed verification forms to the regional center:
613-Associate Behavior Analyst
615-Behavior Management Assistant
620-Behavior Management Consultant
017-Crisis Team-Evaluation and Behavioral Intervention Training
025-Tutor Services – Group
048-Client/Parent Support Behavior Intervention Training
077-Parent-Coordinated Home Based Behavior Intervention Program for Autistic Children.