Please read and initial each statement, and sign at the bottom.
The Consumer you are working for is receiving Consumer Directed Services, which means the
Consumer is your employer. The Consumer is responsible for the hiring, firing, training and scheduling
of you, the attendant.
You are not an employee of Blue Skies Home Care, LLC (Blue Skies). You are an employee of the
Consumer that you work for in their home. When filling out loan applications or other financial
paperwork, please do not indicate that Blue Skies Home Care, LLC, is your employer. The Consumer's
name can be released in these circumstances, but you may not release any medical or personal
Blue Skies Home Care, LLC is the Fiscal Intermediary/Medicaid Enrolled Provider for Consumer
Directed Services program. Blue Skies Home Care, LLC is responsible for providing oversight and
ensuring the services provided by the attendant is in accordance with the Consumer’s Plan of Care
authorized by the Department of Health and Senior Services (DHSS).
EVV (Electronic Visit Verification) usage is mandatory by state and federal regulations.
EVV accuracy is very important. The Consumer Directed Services program is funded by State and
Federal revenue. Falsification of EVV is considered fraud. Instances of suspected fraud will be
hotlined/reported to the Department of Health and Senior Services and/or appropriate law enforcement
Attendants must be inside the home of the consumer when clocking in and out, unless the visit
involves transportation and is documented in EVV by the attendant. Attendants may not clock in or out
on the front porch, in their car, in the driveway, or anywhere else other than in the consumer’s home.
When using the Mobile App, any visit that is out of range will not be paid. The only exception is
when the attendant is providing essential transportation. Essential transportation must be documented by
the attendant and be verifiable by the location indicated in the system. Failure to document or contact the
Case Manager regarding essential transportation will result in no payment for the date.
Claiming hours through EVV or on a paper timesheet that were not worked is considered to be
Anytime an attendant is unable to utilize the EVV system due to a technical error, it is required to be
reported ON THE DAY OF THE OCCURRENCE to the consumer’s Blue Skies Case Manager. If the
visit occurs after regular business hours, a voicemail must be left on the day it occurs.
When EVV is unavailable, a paper timesheet is necessary to document times worked. The attendant’s
time-in should be recorded on the timesheet at the start of the work shift. The attendant’s time-out should
be recorded on the timesheet at the end of the work shift. The timesheet must reflect the exact times
worked, such as 1:53 PM to 3:35 PM. When a paper timesheet is used, it is mandatory that it be
reported to the consumer’s case manager immediately(on the day of the occurrence) and submitted
the day of or the attendant will not be paid for that shift. Additionally, all blank timesheets must
remain in the Consumer's home..
Direct Deposit: Please never schedule auto payments previous to the Friday after the end of the pay cycle. Blue Skies will not pay any overdraft or late fees in any circumstances. Direct Deposit: Please never schedule auto payments previous to the Friday after the end of the pay
cycle. Blue Skies Home Care will not pay any overdraft or late fees in any circumstances. Therefore, we
highly recommend that you evaluate the auto payment dates each month to determine if the payment dates
should be moved to coincide with the payroll date. Attendants are required to provide Blue Skies Home
Care, LLC, with up-to-date direct deposit information. Direct deposits that are returned to Blue Skies
Home Care LLC due to negligence of the attendant (i.e. account closure, incorrect information on the
ACH form) will result in a paycheck deduction in the amount equal to the direct deposit return fee issued
from the bank. It is also required that the attendant's name be on the account that deposits are made.
Although your paycheck may arrive earlier at times, it is not due to you until Friday after the end of
the pay cycle.
Always notify Blue Skies when you change addresses, even if you have direct deposit.
Attendants shall only perform the approved tasks and hours as stated on the Care Plan. A copy of
the current Plan of Care is in the Consumer's folder.
Any hours that are worked over the authorized Care Plan will not be paid by Blue Skies Home Care,
Attendants may not work unless the consumer is in the home and awake. Consumers must be
present and awake to supervise the attendant.
While working for the consumer, the attendant must be performing care plan tasks at all times, and
not sitting or visiting while working.
Attendants are NOT allowed to provide transportation to the hospital or the emergency room while
they are on the clock. Attendants also MAY NOT provide transportation to medical appointments
covered by Missouri Medicaid while working through the Consumer Directed Services Program.
Consumers must contact MoDivCare Medicaid Transportation for these appointments.
Attendants are NOT allowed to provide transportation to recreational activities, such as going out
to eat, visiting family or friends, church, going to the movies, etc. while working for the Consumer.
If included on the Consumer's Plan of Care, attendants MAY provide transportation for essential
shopping. Essential errands include grocery shopping, picking up prescriptions, going to the post office,
etc. The Consumer may or may not accompany the attendant. This is the Consumer’s decision.
Attendants must have valid liability insurance when transporting Consumers in their vehicle. Blue Skies
Home Care, LLC does not assume any liability for Consumers or attendants riding in each other's
Attendants shall not work for Consumers while they are in the hospital, nursing home, or any type
of inpatient stay.
Attendants shall not provide pet care, lawn care, child care, or assistance to anyone in the home
other than the Consumer.
Attendants shall not provide paid personal care services to a Consumer who is their spouse. This
means an attendant cannot be paid for providing services for the Consumer to whom they are married. If
an attendant marries a Consumer, the marriage must be reported to the CDS Specialist immediately.
If attendants are not able to work their scheduled shift, the attendant must notify the Consumer in
advance so the Consumer has adequate time to find a replacement worker. This is especially important
with Consumers who cannot transfer or use the toilet independently. Not being able to get out of bed is a
health, safety and welfare issue and can be very detrimental to the Consumer's health.
I understand that I will not be paid by Blue Skies Home Care, LLC for any days that I work for the
Consumer when the Consumer is not Medicaid eligible. It is the responsibility of the Consumer to track
the Medicaid eligibility and adjust my work schedule so I do not work on non-Medicaid eligible days.
I understand that any of the following may delay my direct deposit: the use of a paper timesheet,
not using EVV correctly, submitting time worked in huge excess of the Consumer’s care plan, or not
communicating with the Consumer’s Case Manager when a paper timesheet is used.
Attendants and/or Consumers are solely responsible for any injuries or illness the Attendant
sustains while providing personal care services to the Consumer. Neither Blue Skies Home Care, LLC nor
the State of Missouri has any liability for such injuries or illness and are not required to provide workers
compensation coverage to attendants. Therefore, there is no workers compensation coverage through Blue
Skies Home Care, LLC or the State of Missouri.
Attendants accumulating over 40 hours of work per seven-day week will be compensated at the rate
of time and one half for hours worked in excess of 40 hours. The time and one-half rate is based on the
attendant’s current hourly wage. Hours worked in excess of 40 hours are subject to oversight by Blue
Skies Home Care, LLC. Hours worked must be in compliance with the Consumer/employer’s plan of
care as determined by the Department of Health and Senior Services.
Attendants working for two or more Consumers with no break in service provision may bill for
travel time from the home of one Consumer to the next Consumer using the Travel Report. The Travel
Report is available from your CDS Specialist. Additional verification and financial duties required to
process travel reimbursement will delay the attendant's receipt of travel check/ direct deposit.
I understand that if the Consumer I am working for has services with Blue Skies Home Care, LLC
and another provider, that two attendants cannot work for the Consumer at the same time. This means the
Consumer may have only one provider working in the home at any given time. If another attendant works
at the same time as I do, I will report the multiple attendant circumstances to the Blue Skies Home Care’s
CDS Specialist (case manager). Failure to do so may be considered fraud.
I understand that if I am working for the Consumer through two or more providers, that I cannot bill
the providers for the same hours. This means I cannot bill my hours more than once. I must bill different
hours when working for two or more providers. I must report all providers I am working for to the Blue
Skies Home Care’s CDS Specialist. Failure to do so is considered fraud.
I understand that if I have additional employment of any kind, I must report this to the Consumer’s
By initialing the above items and signing below, I indicate I understand these requirements.
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