Get Participant-direction Services Timesheet Comp Program

Filling out the PARTICIPANT-DIRECTION SERVICES TIMESHEET COMP PROGRAM accurately is essential for ensuring timely processing of services provided. This guide will help you navigate through each section of the form with clear and concise instructions tailored to your needs.

Follow the steps to complete your timesheet accurately

1. Click the ‘Get Form’ button to obtain the PARTICIPANT-DIRECTION SERVICES TIMESHEET COMP PROGRAM form and open it in your editor of choice.
2. In the first section, enter the employee name, ensuring that you provide the full legal name of the person who rendered services.
3. Next, input the employer name, which is the name of the organization or individual who oversees the services provided.
4. Fill in the waiver participant name, referring to the individual receiving services. This should be the person’s name as specified in the service plan.
5. Certify the services by checking the box that states you certify the services have been provided on the indicated dates and times, in accordance with the service plan.
6. In the service codes section, reference the services provided by entering the relevant service code (e.g., community access group, community living daily, etc.).
7. For each date of service, use the MM/DD/YY format to record the date services were provided.
8. Indicate the start time and end time for services in either AM or PM format.
9. Ensure both the employee and employer sign the form and include the respective dates for each signature.
10. Submit the completed form by faxing it to 1-855-872-3728 the day following the last day of the pay period.

Complete your PARTICIPANT-DIRECTION SERVICES TIMESHEET COMP PROGRAM online now to ensure timely service delivery.