New Hire Checklist

Your New Hire Checklist

In preparation for your first day, please use the following list of documents to complete your paperwork for new hire processing. Refer to the “Date Due” for both the Level 1 and Level 2 documents. 

How to Return Completed Documents

1. Return in person to your CSI employing office.

2. Upload to our secure HR Sharefile.

3. USPS Mail.

DO NOT SCAN or SEND DOCUMENTS VIA UNSECURED EMAIL!!

SPRINGFIELD, MA: (413) 739-5572 x33,  fax (413) 739-9972 or USPS mail to 1695 Main St, Ste 300, Springfield, MA 01103.

DORCHESTER, MA: (617) 325-2993 x19,  fax (617) 325-5618 or USPS mail to 1100 Washington St, Ste 206, Dorchester, MA 02124

Level 1 Documents – All Applicants

#1 Employee File Record (Complete Parts A & C)
CSI_EmployeeFileRecord

#2 Background/Cori Authorization
CORI Release

#3 Copy of Current Driver’s License

#4 Employment Application (Complete all Sections)
CSI Employment Application

#5 Understanding of Communicable Disease Verification
CSI_CommunicableDiseaseVerification

Level 2 Documents – Clinicians

#6 Form I-9 (Include Support Documents from list A, B or C)
I-9

#7 Direct Deposit Authorization
dirdepf2

#8 W-4 Federal Employee Withholding
W-4 2017

#9 M-4  State Employee Withholding for MA.   (Only if state withholding is different than Federal)
M-4

#10 Clinical License(s) (Copy of current & valid clinical license search)
MA. Division of Professional Licensure

#11 Degree Confirmation
(Official transcripts of highest degree held if clinical license is not applicable)

#12 NPI (National Provider Identification Number)
Find or Register for NPI Number
Register as Individual, choose Taxonomy under Behavioral Health 10 series, and use CSI business address for provider location. The NPI # will follow you throughout your career and is required when providing services to Medicaid/Medicare clients for pay.  NPPES Registry works with Internet Explorer.  

#13 MA. CANS Certification
Verify Current CANS or GET CERTIFIED(If this is your first time certifying, dedicate approximately 8 hours to complete training and take test.)

#14 AFFIRMATIVE ACTION VOLUNTARY INFORMATION

AFFIRMATIVE ACTION VOLUNTARY INFORMATION

#15 Verification of Freedom from Communicable Disease.
Must provide verification of freedom from communicable disease before starting employment and having direct contact with clients. Either doctor’s note or TB Test completed within 6 months prior to start date. Refer to item #5 on this checklist.

UNDERSTANDING OF QUALITY ASSURANCE SCREENINGS

#16 Understanding that CSI conducts Quality Assurance screenings to monitor the services provided by CSI’s clinical staff.

Level 2 Documents – Therapeutic Mentors

#6 Form I-9 (Include Support Documents from list A, B or C)
I-9

#7 Direct Deposit Authorization
dirdepf2

#8 W-4 Federal Employee Withholding
W-4 2017

#9 M-4  State Employee Withholding for MA.   (Only if state withholding is different than Federal)
M-4

#10 Degree Confirmation

(Official transcripts of highest degree held if clinical license is not applicable)

#11 NPI (National Provider Identification Number)
Find or Register for NPI Number
Register as Individual, choose Taxonomy under Behavioral Health 10 series, and use CSI business address for provider location. The NPI # will follow you throughout your career and is required when providing services to Medicaid/Medicare clients for pay.  NPPES Registry works with Internet Explorer.  

#12 PROOF OF AUTO INSURANCE
Request a “Dec Page” or other proof of insurance from your insurance agent or carrier for the vehicle that you will be using to transport clients.

#13  AFFIRMATIVE ACTION VOLUNTARY INFORMATION
AFFIRMATIVE ACTION VOLUNTARY INFORMATION

#14 Verification of Freedom from Communicable Disease.
UNDERSTANDING OF QUALITY ASSURANCE SCREENINGS

#15 Understanding that CSI conducts Quality Assurance screenings to monitor the services provided by CSI’s clinical staff.

Must provide verification of freedom from communicable disease before starting employment and having direct contact with clients. Either doctor’s note or TB Test completed within 6 months prior to start date. Refer to item #5 on this checklist.

 

Level 2 Documents – Non-Clinical Staff

#6 Form I-9 (Include Support Documents from list A, B or C)
I-9

#7 Direct Deposit Authorization
dirdepf2

#8 W-4 Federal Employee Withholding
W-4 2017

#9 M-4  State Employee Withholding for MA.   (Only if state withholding is different than Federal)
M-4

#10 Degree Confirmation

(Official transcripts of highest degree held)

#11 AFFIRMATIVE ACTION VOLUNTARY INFORMATION
AFFIRMATIVE ACTION VOLUNTARY INFORMATION