EIDBI Provisional Licensure
Application (Full-Service)
Meet the DHS provisional licensure requirement with a submission-ready application. We prepare, organize, quality-check, and submit your provisional license application through the DHS Provider Hub—so you can stay operational and avoid last-minute delays.
Administrative and operational compliance support. Not a law firm. No legal advice.
Price
$2,500
per location/application
Service Type
Full-Service
Application prep + submission
Platform
DHS Provider Hub
Upload org, review & 14-day support
Who This Is For
This service is designed for EIDBI providers who need to complete the DHS provisional licensure application and want a structured, full-service process.
- Existing EIDBI agencies preparing to submit provisional licensure in Provider Hub
- Organizations with multiple locations that need separate submissions per site
- Teams that want a clean documentation binder and a submission that is easy for DHS to review
What You Get
1) Provider Hub Application — Full-Service
We prepare the application, complete required sections using client-provided information, organize attachments, and submit through Provider Hub. You receive confirmation of submission and a next-steps checklist.
2) Enrollment Identifier Cross-Check (Operational)
We confirm the identifiers commonly needed to claim/complete the application (e.g., Enrollment Record ID, FEIN, NPI/UMPI) and flag mismatches that can slow processing. You receive a fix list if anything needs updating.
3) DHS Checklist-Aligned Documentation Setup
We provide a document request list aligned to DHS expectations and build a clean upload folder structure (binder-style) so your materials are complete and easy to navigate.
4) Policy & Procedure Toolkit Setup (Template-Based, Non-Legal)
We provide editable policy templates for core operational areas and help you customize them to match your workflow. We run a completeness and consistency review (missing sections, unclear roles, contradictory steps).
5) Post-Submission Support Window
Up to 14 days of email support for DHS follow-up requests related to the provisional application submission (document re-uploads, clarifications, and administrative responses).
What's Not Included
- Legal advice, legal interpretation, or legal representation
- Drafting legal opinions, appeal letters, or dispute responses
- Guarantees of DHS approval or licensure outcome
If you need legal counsel, we can refer you to an attorney upon request.
Pricing
Per Location / Application
EIDBI Provisional Licensure
Full-Service Application Preparation & Submission
- ✓Provider Hub application preparation + submission
- ✓Enrollment identifier cross-check
- ✓DHS checklist-aligned documentation setup
- ✓Policy & procedure toolkit setup (template-based)
- ✓14-day post-submission email support
Optional Add-Ons
How It Works
Intake & Confirm Basics
Complete our intake form and upload your DHS notice(s) / enrollment details. We confirm location count and key identifiers.
Document Request & Upload Folder Setup
We send a tailored checklist and folder structure for your uploads. You provide your current documents; we identify gaps.
Application Build + Quality Review
We complete the Provider Hub application draft, organize attachments, and run a completeness/consistency review.
Notary Item (If Required)
If a notarized form is required, we provide clear instructions so the authorized signer completes it correctly.
Submission + Confirmation Packet
We submit the application and provide proof of submission, a copy of your organized binder, and next steps.
Turnaround Time: Standard turnaround depends on how quickly documents are provided. Rush processing is available for organizations needing submission in under 10 business days.
Frequently Asked Questions
Is the DHS application fee included?
No. The DHS application fee is paid directly to DHS through Provider Hub and is separate from our service fee.
Is pricing per organization or per location?
Pricing is per location/application. If your organization has multiple locations, each location typically requires its own application.
Do you guarantee approval?
No. We provide administrative and operational compliance support and submission readiness. DHS makes the final licensure determination.
Do you provide legal advice or representation?
No. Integrus Group is not a law firm. We do not provide legal advice, legal interpretation, or legal representation.
What do you need from us to get started?
We typically need your basic identifiers (FEIN and enrollment identifiers) and your current documentation so we can compile and organize the submission.
What if DHS asks for more information after submission?
Your package includes a 14-day email support window for DHS follow-ups tied to the submission. After that, extended support is available at an hourly rate.
Ready to submit your EIDBI
provisional licensure application?
Complete the intake form to get started. Once submitted, we'll confirm your locations, request any missing items, and begin building your Provider Hub application.
Administrative and operational compliance support. Not legal advice.