Provider Enrollment
Enrolling a provider
COHEs identify, recruit and enroll providers in their service area. A provider is required to have an L&I provider account number and an orientation to COHE before they complete the COHE supplemental application. Please submit the completed form to your L&I contract manager.
COHE Supplemental Application (26 KB PDF)-
COHE Fee Schedule (122 KB PDF)
Dis-enrolling a provider
Those providers requesting removal from COHE should complete the dis-enrollment form. Submit the completed form to your L&I contract manager.
- Dis-enrollment form (183 KB PDF)
For involuntary APP dis-enrollment, please contact your L&I Contract Manager to discuss the process.
Conducting provider orientation
Orientations can be done in person or through technology as long as it is possible to verify that the provider did watch the presentation. Here are examples of provider orientation slides and script:
Orientation slides - part 1 (382 KB Powerpoint)- Orientation slides - part 2 (1.77 MB Powerpoint)
- Orientation slides - part 3 (1.11 MB Powerpoint)
- Orientation slides - part 4 (316 KB Powerpoint)
Orientation script (116 KB Word doc)
