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2356 University Ave. W. Suite 220 St. Paul, MN 55114 BIWEEKLY PCA TIME & ACTIVITY DOCUMENTATION rev. 10/11 Tell: 6517892299 Fax: 6513061359 EMPLOYEE NAME: FIRST AND LAST NAME CLIENT NAME: PERIOD COVERED:
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How to fill out bi-weekly pca time activity

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How to fill out bi-weekly PCA time activity:

01
Begin by gathering all necessary information such as the date, your name, and client information. This will ensure accuracy when completing the form.
02
In the "Service Start Time" section, record the time you begin providing personal care assistance to your client. Be sure to note if there are any specific requirements or tasks that need to be addressed during this time.
03
Move on to the "Service End Time" section and document the time you finish providing care to your client. Again, make sure to include any additional notes about tasks completed during this period.
04
If there were any interruptions or breaks during the service, indicate them in the "Interruption/Break Time" section. This could include attending to personal needs or taking a lunch break.
05
In the "Service Activity" section, describe the specific activities and tasks completed during the bi-weekly time frame. This could include assistance with bathing, grooming, meal preparation, medication reminders, or any other services provided.
06
If you provided any additional services not already listed on the form, record them in the "Additional Activities" section. This ensures that all care provided is documented accurately.
07
Finally, review the form for any errors or omissions before submitting it. This will ensure that all information is correct and complete.

Who needs bi-weekly PCA time activity?

01
Home healthcare agencies: Bi-weekly PCA time activity forms are often required by home healthcare agencies to track and document the care provided by their employees. This information is important for billing purposes and ensuring the quality of care being delivered.
02
Personal care assistants (PCAs): PCAs themselves may also need to keep track of their bi-weekly activities to ensure they are accurately compensated for their work. This form allows PCAs to document their time and services provided, serving as a record of their professional duties.
03
Clients and their families: Bi-weekly PCA time activity forms can be helpful for clients and their families to have a clear understanding of the care being provided. This document highlights the specific activities and tasks completed during each time frame, giving clients and their families peace of mind that their needs are being met.
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Bi-weekly PCA time activity is a form used to track the time worked by Personal Care Assistants (PCAs) providing services to individuals receiving Medicaid-funded services in their homes.
PCAs who are providing services to individuals receiving Medicaid-funded services in their homes are required to file bi-weekly PCA time activity.
PCAs can fill out bi-weekly PCA time activity by documenting the start and end times of each service provided, along with any additional notes or comments regarding the care provided.
The purpose of bi-weekly PCA time activity is to ensure accurate tracking of the hours worked by PCAs providing services to individuals receiving Medicaid-funded services in their homes.
Information that must be reported on bi-weekly PCA time activity includes the PCA's name, date of service, start and end times of service, services provided, and any additional notes or comments.
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