Attendant Checklist

Required Attendant Application Form

Please read and initial each statement, and sign at the bottom.
Full Name*
1*

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.
2*

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 information.
3*

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).
4*

EVV (Electronic Visit Verification) usage is mandatory by state and federal regulations.
5*

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 authorities.
6*

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.
7*

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.
8*

Claiming hours through EVV or on a paper timesheet that were not worked is considered to be Medicaid Fraud.
9*

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.
10*

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..
11*

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.
12*

Although your paycheck may arrive earlier at times, it is not due to you until Friday after the end of the pay cycle.
13*

Always notify Blue Skies when you change addresses, even if you have direct deposit.
14*

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.
15*

Any hours that are worked over the authorized Care Plan will not be paid by Blue Skies Home Care, LLC.
16*

Attendants may not work unless the consumer is in the home and awake. Consumers must be present and awake to supervise the attendant.
17*

While working for the consumer, the attendant must be performing care plan tasks at all times, and not sitting or visiting while working.
18*

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.
19*

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.
20*

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 vehicles.
21*

Attendants shall not work for Consumers while they are in the hospital, nursing home, or any type of inpatient stay.
22*

Attendants shall not provide pet care, lawn care, child care, or assistance to anyone in the home other than the Consumer.
23*

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.
24*

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.
25*

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.
26*

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.
27*

I understand that my paystub and W-2 can be accessed through the Attendant Portal at https://portal.bluesummit.io/auth/login.
28*

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.
29*

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.
30*

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.
31*

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.
32*

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.
33*

I understand that if I have additional employment of any kind, I must report this to the Consumer’s CDS Specialist.
34*

Attendants are encouraged to check the Missouri Sex Offender Registry to determine whether any of an attendant’s Consumer(s) are on the registry. This will allow attendants to make an informed decision with regard to contact with Consumers. The registry may be accessed at: http://www.mshp.dps.missouri.gov/MSHPWeb/PatrolDivisions/CRID/SOR/SORPage
By initialing the above items and signing below, I indicate I understand these requirements.
Signature of Attendant*
Date*
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Attendant Checklist

Required Attendant Application Form

Please read and initial each statement, and sign at the bottom.

By initialing the above items and signing below, I indicate I understand these requirements.

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