Become a Vendor Agency

If  you or your agency would like to become a vendor in the Family Voices Network, below you will find an example of some of the things you will need:
  • Program Description – which is an explanation of services currently offered in the Community
  • Proposed FVN Service Codes- the services you would like to provide for Family Voices Network
  • Proof of Insurance Coverage
  • Board of Directors – The Agency’s Governing Body
  • Training Requirement/Policies
  • Supervision Procedures
  • Organizational Chart
  • Policies & Procedures (Internal)
  • State Central Registry Reproting
  • OMH Fingerprinting
  • Risk Management (incident reporting, grievance policies)
  • Quality Assurance & Quality Improvement Plan
  • Confidentiality and HIPAA Policies
  • Corporate Compliance Policy
  • New Hire Orientation Manual

Vendor Agency Application

Sample Contract

Download (PDF, 96KB)