PSW Enrollment and Renewal

On this page, find information about:

Find a full list of resources for personal support workers (PSWs), including enrollment and renewal forms, on the Oregon Department of Human Services’ website.

 

PSW Enrollment

You can enroll as a personal support worker (PSW) by visiting a community developmental disability program (CDDP) office in your area or a local brokerage, such as Community Pathways.

General PSW Enrollment Process

To enroll as a PSW in general, you can become qualified through any case management entity (CME).

Community Pathways’ PSW Enrollment Process

To enroll as a PSW who provides direct support to customers of Community Pathways:

To be qualified through Community Pathways, you must first schedule a meeting with our provider specialist. Allow 60 minutes for the meeting, which will include filling out paperwork for a criminal history check (CHC) and provider enrollment application and agreement (PEAA), enrolling with the financial management agent (PPL) for payroll purposes, and asking the provider specialist any questions you may have.

Bring the following items and information with you to the meeting:

  • Social Security card.

  • Driver's license and/or photo ID (i.e. passport).

  • Proof of auto insurance, if you will be providing driving services to individuals.

  • Contact information for 2-3 professional references. These could be previous employers, trusted family members, or friends. A phone number and/or email address is required for each.

 

PSW Renewal Paperwork

As a PSW, you will need to renew and update the following documents and information with Oregon Department of Human Services and the Case Management Entities, including support services brokerages, to maintain your active status.

Oregon Department of Human Services

  1. Criminal History Check

  2. Provider Enrollment Application and Agreement

  3. Change of information (name, address, email address, phone number, etc.)

Case Management Entities, including Community Pathways*

  1. Change of information (name, address, email address, phone number, etc.)

  2. Proof of auto insurance and/or driver’s license. (Every time your auto insurance policy and/or license are updated, please submit a copy to each case management entity, such a Community Pathways, whose customers you work for as a PSW.)

    *This information is not updated automatically in our system. You must follow up with the PSW renewal communications you receive from Community Pathways.

 

PSW Credentials

Criminal History Check

The criminal history check (CHC) must be renewed every two (2) years. The full CHC process, from the time the paperwork is submitted to a brokerage until it is approved or denied, can take up to 8 weeks. Since the length of time may vary, please check in with the agency/brokerage. Submit your CHC renewal paperwork at least 120 days before the expiration date of your current CHC.

To complete the CHC, you will need:

  • Copy of photo ID. Please submit a copy with your CHC paperwork.

  • Social Security number. Your SSN is optional to complete the CHC.

  • Signature and date. Please remember to sign and date the document.

  • Fingerprints*

*After submitting your CHC paperwork, you may be notified to get your fingerprints taken. You will have 21 days from the time you receive the notification to do your fingerprinting. Fingerprinting services are provided by third-party companies, not Community Pathways. The services do include a fee, so be prepared to pay when you schedule your appointment.

Provider Enrollment Application and Agreement

The provider enrollment application and agreement (PEAA) must be renewed every five (5) years. Please submit your PEAA renewal paperwork at least 70 days before your current PEAA expires.

Here is the information you will need to provide to complete your PEAA.

  • Contact information. Physical/mailing address, phone number, email address.

  • Provider ID number. You will need to provide your six-digit provider number.

  • Social Security number. You will need your SSN to complete the PEAA.

  • Signature and date. Please remember to sign and date the document.

Driver's License and Auto Insurance

If you are providing OR004 transportation services, you will need to provide copies of your most current and up-to-date Oregon driver's license (ODL) and auto insurance card.

Send Community Pathways new copies any time your information is updated or your personal information changes. These can be sent using a secure email, mail, or fax.

Change of Information

Providers are required to submit updated information (name, addresses, email, phone number) to brokerages any time their personal information changes. Brokerages assist the individuals they serve (who are the direct employers of support providers) with quality assurance in the monitoring and payment of the support services they receive. As a PSW, please notify the brokerages whose customers you work for any time your personal information changes, including your:

  • Legal name

  • Physical and/or mailing address

  • Phone number

  • Email address

 

Questions?

Let us know if you have questions about the PSW enrollment and renewal process. We’re here to help.

Email us at info@communitypath.org

Call our Provider Coordinator at 503-935-5243 extension 228