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Provider Application
Please complete all sections of this application.
Step 1. Review, complete and save the Mainspring Academy Provider Policy and Personal Appearance Policy
(Laptops/Desktop Only)
VIEW PROVIDER POLICY>
REVIEW PERSONAL APPEARANCE POLICY>
Step 2. Upload your completed Provider Policy (Required)
Provider Application
Step 3. (ABA Case Managers Only - Required) Upload a copy of client treatment plan(s)
Client Treatment Plan(s)
Step 4. ACHA Clearinghouse
IMPORTANT:
Due to new state standards effective April 7th, we are now required to enroll all providers under our ACHA Clearinghouse account. Once you upload your provider policy you will receive an email from Operations Coordinator Laney Gonzalez at lfarris@mainspringacademy.org with additional steps.
Failure to submit required items above will result in an incomplete application and a delayed processing time. Therapists may not provide services at Mainspring Academy until the school has received a Permission for In-School Services form from the student's parent. If in the future, case managers are requesting for providers to observe only, they must comply with the same process. In addition,
services at Mainspring Academy may not be provided until this application is reviewed and approved via email by the school's Operations Coordinator, Laney Gonzalez. You must await this approval and start date. In general, you should expect a 24-48 hour processing period with additional time considered for those providers who are not active in the ACHA Clearinghouse.
We strongly recommend all providers complete a Level 2 screening with ACHA prior to submitting a provider request.
If you do not receive an approval email, you are not approved to begin.
Provider Agreement Accepted
eSignature
Submit
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Home
Who We Are
About
Staff
Board of Directors
Who We Serve
Students
Programs
Curriculum
Admissions
Tuition & Fees
FAQ
Get Involved
Areas of Support
Donate
Volunteer
Join Our Team
Wish Lists
Partners
Parent’s Corner
Staff’s Corner
Calendar
Connect
Contact
Newsletter
Tour
Policies
Reporting Misconduct