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NM Self/Participant Direction Employee Employment Packet This packet contains all the forms you need to enroll as an employee and begin providing services to your participant/member. Please follow.

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How to fill out the NM Self/Participant Direction online

The NM Self/Participant Direction form is essential for enrolling as an employee to provide services in the self-directed program. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the NM Self/Participant Direction form online:

  1. Select the 'Get Form' button to access the NM Self/Participant Direction form and open it for completion.
  2. Begin by filling out the Employee Information section, providing your full name and Social Security Number. Ensure that all required fields are completed accurately, and review the details for any errors before proceeding.
  3. Complete the Employee Information & Qualification form. Make sure to read and initial the highlighted areas to acknowledge your understanding of your responsibilities as a worker in the self-direction program. Sign and date the form at the bottom.
  4. Fill out the Employment Agreement, marking all applicable boxes and entering the requested information throughout the document. Both you and your employer need to sign and date the last page to finalize this step.
  5. If applicable, complete the Provider Attestation form to comply with the CMS Final Rule requirements, ensuring all necessary information is recorded and that you sign at the end.
  6. For those providing transportation services, fill out the Appendix to Employee Agreement checklist, attaching all required documentation such as your driver’s license and proof of insurance.
  7. Proceed to the I-9 form, ensuring you provide accurate information about your identity and employment eligibility, then have your employer complete the employer’s section as per the guidelines.
  8. Complete the Payroll Information Worksheet, IRS Form W-4, New Mexico W-4 (if applicable), and Pay Selection & Direct Deposit Authorization Form, ensuring all parts are completed as detailed in the instructions.
  9. Double-check all forms for accuracy. Once you have filled out all necessary forms, you can save your changes, download, print, or share the forms as needed.

Ensure you complete your NM Self/Participant Direction form online for a smooth enrollment!

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Contact support

Palco Choice provides personal, in-home assistance for Medicaid individuals who qualify for personal care or ARChoices attendant care. Palco Choice is founded on the principles of person-centered care, understanding that the individual receiving services should always be engaged as a valuable member of the care team.

The Pacific Lumber Company, officially abbreviated PALCO, and also commonly known as PL, was one of California's major logging and sawmill operations, located 28 miles (45 km) south of Eureka and 244 miles (393 km) north of San Francisco.

For more information about Palco, email us at customersupport@palcofirst.com or call our Customer Support Department at 1-866-710-0456.

The ID number you will use for EVV is the same six digit Palco ID number you were given in the welcome letters that you initially received. If you forget it, you can contact Consolidated Customer Service Center at 1-800-283-4465 and press option 5.

About Palco We are your Financial Management Service (FMS) provider. Our goal is to aid in your success as the employer of your support workers. We assist you in hiring, paying for your choice of support workers and services, all within your state-approved personalized spending budget, and local rules.

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