Thank you for your interest in becoming a provider of services for individuals with developmental disabilities in the State of Illinois.

This information is for organizations or individuals seeking funding through the Department of Human Services, Division of Developmental Disabilities (DDD).  Completion of the provider enrollment forms does not guarantee approval for funding nor does guarantee referrals for services. Before beginning the application process, refer to the DDD Program Manual and research all aspects of the business thoroughly.

Provider Enrollment Forms

Completion of the provider enrollment forms is solely the responsibility of the applicant. DDD staff may only provide information about the provider enrollment process.  The applicant must obtain information about the legal, technical, business or financial aspects of the provider application independently of DDD staff. 

Incomplete forms will not be reviewed by DDD staff and will be returned to the applicant.  Provider enrollment forms and related materials submitted become the property of DDD and will not be returned to the applicant. 

DDD is not responsible for making copies of provider forms. Applicants should retain a copy of all materials submitted for their records.