Physician specialists and other professionals must meet discipline specific criteria, carry professional liability insurance in amounts appropriate to their specialty, and agree to abide by DSCC policy and procedures to participate and receive reimbursement for services provided to DSCC patients. Similar criteria exist for the approval of providers of equipment, nursing agencies, hospitals, and specialized treatment centers.

Primary care physicians (pediatricians and family practice physicians) can become DSCC-approved Medical Home Physicians and receive reimbursement for eligible services provided to children enrolled in the DSCC Core program. Medical Home Physicians have a trusting, collaborative relationship with families and provide care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate and culturally competent. DSCC recognizes that serving children with special health needs is often more complex and time consuming. Medical Home Physicians will be reimbursed when the level of decision-making or planning complexity requires more physician time. Reimbursable services may include telephone consultations with specialists and certain care coordination activities not otherwise covered by third party payers.