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This document serves as a timesheet for Personal Attendants to record the hours worked and activities provided to waiver participants, ensuring compliance with Medicaid regulations.
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How to fill out Technology Assisted Personal Attendant (PA) Timesheet

01
Obtain the Technology Assisted Personal Attendant (PA) Timesheet form from your agency or website.
02
Fill in your personal information including name, address, and contact details.
03
Write your time period for which the service was provided (e.g., week ending date).
04
Record the dates and hours worked by the personal attendant each day.
05
Include any additional notes or comments regarding the services provided, if necessary.
06
Sign and date the timesheet to certify that the information is accurate.
07
Submit the completed timesheet to the appropriate agency for processing.

Who needs Technology Assisted Personal Attendant (PA) Timesheet?

01
Individuals who receive personal attendant services through programs that require a timesheet for reimbursement.
02
Caregivers or personal attendants who need to document their hours worked for payment.
03
Agencies that manage personal attendant services requiring tracking of time for funding purposes.
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In your PPL@Home dashboard, go to the “Timesheet” tab. Click or tap “View” to see the shifts your PA submitted. If everything is correct, the click the approve button; if anything is incorrect, click the reject button. If you reject the timesheet, the PA will have to fix it and send it to you again to approve.
How to Use PPL's Telephony System to Clock In and Out Dial 1-833-278-3959. Select Option 1 to indicate you are the caregiver. Enter your 8-digit date of birth (MMDDYYYY). Enter the last four digits of your Social Security Number (SSN). Select your consumer from the list provided.
An employer and their personal assistants need to have a record of what hours they have worked, so the PA should complete a timesheet. The timesheet should be signed by you both.
If you are clocking in and out through the Time4Care app, tap “End Time,” then “Submit,” then “Ok” to save and submit your time. If using telephony, listen to the system when it asks if the current end date and time is accurate. If the date and time are correct, you must press 1 to save the entry.

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Technology Assisted Personal Attendant (PA) Timesheet is a system used to track the hours worked by personal attendants who provide care and assistance to individuals with disabilities or chronic illnesses.
Personal attendants who are providing services under programs that require time tracking are required to file Technology Assisted Personal Attendant (PA) Timesheets.
To fill out a Technology Assisted Personal Attendant (PA) Timesheet, you must accurately record the hours worked each day, including the date, time in and out, and any necessary notes regarding the services provided.
The purpose of the Technology Assisted Personal Attendant (PA) Timesheet is to ensure accurate tracking of care services provided, facilitate payment processing for attendants, and maintain accountability in service delivery.
The information that must be reported on a Technology Assisted Personal Attendant (PA) Timesheet includes the dates of service, start and end times of shifts, total hours worked, the nature of the services provided, and any relevant notes or comments.
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