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Becoming a Named Service Provider for Family Start
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These instructions are for people interested in delivering therapy to sensitive claims clients as a named service provider, often also referred to as a lead provider. This process is for people that are new to ACC and not already delivering services for another provider. If you are already a registered sensitive claims named service provider, click HERE to be named on Family Start's contract to deliver services under Family Start.

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1. After familiarising yourself with the requirements and steps below, the first step is to contact Chris (Manager) and meet with him to discuss suitability, options, and next steps. Contact Chris at Chrise@familystart.co.nz

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2. After speaking with Chris and ensuring you meet any eligibility requirements, you nee to complete the application for a "Named Service Provider" on Business Connect. For this you will need to login to your RealMe account. Click here to go to business connect. 

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3. Complete and submit an ACC6243 form. This must be sent to health.procurement@acc.co.nz after completing your business connect application.

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4. While you are waiting for your application to be processed, here is the paperwork you need to send to ChrisE@familystart.co.nz. This is often also asked during the business connect application, however Family Start also needs a copy. 

 

  • Please email through your ACC provider Number 

  • Please sign and return THIS provider agreement, please insert your name on the front page, and sign the signature page. The full document needs to be scanned and returned.

  • Please sign and return THIS consent for police check

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  • Childrens Safety Check:

    • For people that will work with children under the age of 18:

      • A completed vulnerable childrens check document completed by the CV Check Service;  OR

      • Send through the email address of two people who are not related to you that can attest to your suitability working with children; AND

      • This completed Statutory declaration declaring your overseas residence and convictions. Must be witnessed and signed by a Justice of the Peace or appropriately authorised person; AND

      • If you have lived overseas for a period of more than 12 months, you will need to provide a conviction history check for each country you have resided in. You will need to source this at your own cost.

    • For people that will NOT work with children under the age of 18:

      • An email sent to Chrise@familystart.co.nz with a statement from you that you will not be working with anyone under the age of 18.​

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  • One form of Primary ID - Birth Certificate or Passport is preferable 

  • One form of Secondary ID - Drivers Licence (front and back) is preferable. 

  • Current Annual Practicing Certificate

  • 5 year work history - CV is fine 

  • Certificate for the ACC Sensitive Claims e-Module Completion – click here: https://myacc.co.nz/portal

  • Confirmation that you have an ACC Sensitive claims Supervisor (an email from them or a recent invoice for supervision will do or supervision agreement)

  • Bank account verification – so we can pay you 😊

  • GST Number confirmation if you have this

  • Confirmation of Insurance to ensure your practice is covered.

  • Completed induction Manual – to work on over the first few weeks (Will be sent at later date)

  • And please let me know If you would like a Family Start email address

 

Any questions, please don’t hesitate to ask 😊.

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