List of Required Documents

The accreditation process is not difficult, but it is very detailed.

The listing below is the documents required for your application to be considered complete.

Each of the required documents prepared by the applicant must be numbered and labeled with the corresponding number and document name listed below. Documents must be contained in a single zip file.  If a provider does not have access to the ability to submit the documents online, the applicant may provide all of the requested documents on a flash drive which contains the zip file with each of the required documents numbered and labeled according to the list below.   See Submission Instructions for more information.  

Click the link below to download a copy of the Required Documents Checklist.  

List of Required Documents: 

1.       Completed Provider Application

2.      Completed Self-Assessment Checklist

3.      Mission Statement (Standard 1.01)

4.      Vision Statement (Standard 1.02)

5.      Non-Discriminatory Affidavit (Standard 2.01)

6.      Code of Ethics (Standard 2.06)

7.      Assurances Form (Standard 2.07)

8.      Resident Fee Notification Documentation (Standard 3.02)

9.      Legal business entity documentation (Standard 5.01 – Level II and III only)

10.   Documentation of applicable insurance coverage (Standard 5.02)

11.    Written permission from property owner(if applicable) (Standard 5.03)

12.   Resident Notification and Agreement (Standard 6.01)

13.   Resident Rights (Standard 6.02)

14.   House Rules and Resident Agreement documentation (Standard 22.01 and 6.03)

15.   Resident Notification on Abandoned Personal Property (Standard 6.04)

16.   Grievance Policy and Procedure (Standard 7.01)

17.   MCRSP Grievance Policy and Procedure with agency signature and dated

18.   Confidentiality Policy and Procedure (Standard 9.01 and 9.02)

19.   Job Descriptions or Contracts for Peer Staff and Leaders (Standard 13.03)

20.  Personal Recovery Plan Documentation (Standard 17.01)

21.   Over-the-Counter and Prescribed Medication Policy and Procedure (Standard 18.01)

22.  Alcohol and Illicit Drug Policy and Procedure (Standard 18.02)

23.  Resident Weekly Activities Schedule (Standard 23.01)

24.  Resident Weekly Schedule of Recovery Support Services (Standard 27.01 – Level III only)

25.  Resident Weekly Schedule of Recovery Oriented Activities (Standard 27.02 – Level III only)

26.  Staffing Plan (Standard 27.03 – Level III only)

27.  Life Skills weekly schedule (Standard 28.01- Level III only)

28.  Naloxone Accessibility and Training Documentation (Standard 31.13 and 31.14)

29.  Emergency Contact Information Form (Standard 32.03)