Florida Contractor Checklist - teampbs.com

1 Required Documents must be uploaded into our Team PBS SharePoint System. To learn how to access this location, fill out an application at and one of our team members will contact you. This Checklist has various hyperlinks to the documents or the websites referenced. Please click on these items to access related documents and websites. When is this Completed? What is the Requirement? Does this Expire? How Do I Complete this? PRE-HIRE Resume As Information Changes. Upload with your application. Registered Behavior Technician: Expires after 1 Year. Yearly requirements to be completed with BACB board. Upload current Registered Behavior Technician certificate.

2 This certification is obtained from the Behavior Analyst Certification Board, and PBS does offer related required training courses and supervision to obtain certification. Learn more about how to register for a course here. If you do not hold one of these credentials, an Introduction to Applied Behavior Analysis course must be completed prior to working with Team PBS. Previous coursework in ABA or documented training may substitute this requirement if approved by your Regional Team. If approval is granted, upload a copy of corresponding transcripts or training documentation showing the coursework. PRE-HIRE Registered Behavior Technician (RBT) Certification number BCBA/BCaBA: Expires After 2 Years Other Corresponding Licensure: as approved by state law and PBS Corp.

3 Upload copies of all current Board Certified Behavior Analyst (BCBA) or Board Certified Assistant Behavior Analyst (BCaBA) certificates. If you qualify to work as a Behavior Analyst based on corresponding licensure, please upload a copy of your qualifying license. Refer to for more information regarding Behavior Analyst certification. PRE-HIRE Local Background Screening A 90-day break in service or a disqualifying charge will require a rescreening. Otherwise, a rescreening is required every 5 years. Take our PBS Florida Local Background Request Form to your local sheriff s office and complete a Local Background Check. Upload the completed form and/or any screening results received from the sheriff's office.

4 Florida Contractor Checklist When is this Completed? What is the Requirement? Does this Expire? How Do I Complete this? PRE-HIRE Florida Clearinghouse Background Screening A 90-day break in service or a disqualifying charge will require a rescreening. Otherwise, a rescreening is required every 5 years. New Applicants: Upload the completed Clearinghouse Background Request Form into the pre hire site. Once you upload the form, PBS will access the Florida background screening clearinghouse. If a fingerprinting appointment is needed, we will email you a personalized Fingerprint Form (sample) and you can then schedule a fingerprinting appointment with a LiveScan Vendor in your area.

5 Once a valid report is available, a PBS team member will email you a copy of the results to upload into our pre-hire website. Active Contractors: If you need a new background screening, upload the completed Clearinghouse Background Request Form into your My HR Docs location in SharePoint. A PBS team member will initiate your background screening and email you a personalized Fingerprint Form (sample) so you can then schedule a fingerprinting appointment with a LiveScan Vendor in your area. Once your completed report is available, a PBS team member will email you a copy of the results to upload into your My HR Docs location in SharePoint. If you have any questions on the process or would like to check the status of your background screening, contact the Clearinghouse Help Desk: 888-352-2842.

6 PRE-HIRE Identification Card Refer to Card for Expiration Upload a copy of your driver s license or state-issued identification card. PRE-HIRE Social Security Card Refer to Card for Expiration Upload a copy of your signed social security card. Upload any related work authorization or relevant citizenship documentation. Team PBS is only able to contract with individuals who are legally able to work in the United States. PRE-HIRE Proof of Education No Expiration Upload a copy of at least one of the following: o high school diploma, college diploma, college transcripts. Upload a document showing your highest level of education. Both unofficial and official college transcripts will be accepted.

7 O Transcripts and Diploma may both be required for credentialing purposes. When is this Completed? What is the Requirement? Does this Expire? How Do I Complete this? PRE-HIRE Affidavit of Good Moral Character Expires every 5 years Fill out a blank Affidavit of Good Moral Character with PBS Corporation listed as the provider and your name printed on page one. Sign only one of the three options listed on page three in the presence of a notary. After the form is completed and notarized, all three pages must be uploaded. PRE-HIRE Medicaid Credentialing Documents No Expiration Print the corresponding authorization document for your position.

8 Complete all highlighted fields, sign in wet ink, and upload all pages. Electronic signatures will be rejected. Analysts: Analyst Medicaid Authorization RBT s: RBT Medicaid Authorization Assistants: Assistant Medicaid Authorization DURING FIRST PBS LOGIN Team PBS Profile Fill out ENTIRELY at first login and update as needed. Please Note: profile may not save properly if all required fields are not completed. Fill out all requested information entirely. Save each page as it is completed, and keep your profile updated as information changes. o Banking information will be requested for your direct deposit payments. Refer to a personal check or your bank for account details and ensure your banking and secure information is accurate.

9 Profile will only save correctly if all required fields are entered. DURING FIRST PBS LOGIN Updated Resume for Credentialing Purposes No Expiration Update to show position with Positive Behavior Supports Corporation. MM/YY is the preferred format for all dates. If you have had more than a 90-day break in any employment, write an explanation on a separate document and upload with your Resume. DURING FIRST PBS LOGIN Credentialing Information Credentialing with different funding sources cannot begin until all requirements have been completed and your profile info has been input. Complete all requirements and enter your Credentialing information into your profile. Update your resume as explained above.

10 You must have an NPI (National Provider Identification) number and input it in the Credentialing section of your profile. Apply for an NPI Number if needed. Behavior Analysts must have a CAQH# and attest it every 90 days. Obtain or Attest your CAQH if needed. When is this Completed? What is the Requirement? Does this Expire? How Do I Complete this? DURING FIRST PBS LOGIN IRS Document No expiration, but must be updated if your tax classification changes. Fill out, sign, and upload the completed IRS Tax Document W9 into the allotted tab on your "MY HR DOCS" page. DURING FIRST PBS LOGIN Non-Transporter Agreement No Expiration Read, sign and upload the Non-Transporter Agreement into the allotted tab on your "MY HR DOCS" page.