Please clarify that item #3 does not have to be completed prior to providing billable services. The way item #4 reads on the form could be interpreted that items #1, #2 and #3 on the DSP Assurance Form are all required to be completed prior to providing billable services. For item #3, our understanding is that only Competency 3 is required prior to billable service and the other competencies must be completed within 180 days of employment.