Get Ct Acr Financial Management Services W-994 2018-2026

This guide provides a comprehensive overview of how to accurately complete the CT ACR Financial Management Services W-994 form online. By following these detailed instructions, users can ensure that their submissions are complete and accurate.

Follow the steps to successfully complete the W-994 form online.

1. Press the ‘Get Form’ button to access the CT ACR Financial Management Services W-994 form and open it for editing.
2. Begin by filling out Part 1: Employee Information. Input the employee's first name, last name, and the last four digits of their Social Security Number (SSN). Then, include the pay period ending date.
3. If applicable, enter the DDS number for DDS participants and the DDS or Medicaid number.
4. Proceed to Part 2: Employer Information. Fill in the employer's first name and last name.
5. In Part 3: Timesheet, start with Week 1. Enter the dates for each day of the week, indicating the service codes in the designated area.
6. For each day of the week in Week 1, fill in the time in and time out for each service provided, ensuring you separate AM and PM accurately.
7. Calculate the total hours worked for Week 1 and record the total in the designated area.
8. Move on to Week 2 and repeat the process of entering dates, service codes, and hours worked.
9. At the end of Week 2, again calculate and enter the total hours worked.
10. Complete the Progress Notes section by providing comments regarding the bi-weekly service plan outcomes and activities done during the hours worked.
11. The employee must sign and date the form, certifying the accuracy of the information provided.
12. The employer must also sign and date the form, confirming it was completed fully before their signature.
13. Once all sections are filled out and verified for accuracy, users can save their changes, download a copy, print the form, or share it as needed.

Complete your form online today to ensure accurate and timely submissions.