Caring Companions CDS
Agency Responsibility Tracker
Contact your administrator to create or reset your account
Caring Companions CDS
Agency Overview
⚠️ EVV Hard Launch Phase I — April 1, 2026: Claims validation is now active via Sandata EVV Aggregator. All visits must be documented via WellSky Personal Care (our EVV vendor). Claims without matching EVV data may be denied. EVV corrections must be submitted by Saturday 11:59 PM each week.
Active Consumers
0
enrolled & receiving services
Active Attendants
0
currently employed
Contacts Due This Month
0
monthly case management
Screenings Expiring Soon
0
LEIE / FCSR / EDL
Pipeline — Leads
0
not yet ready to start
Pipeline — Referrals (New)
0
new to CDS, submitted to state
Pipeline — PCCP Transfers
0
switching from another agency
💰 Financial Dashboard
Revenue · Labor Cost · Gross Margin · Per-Consumer Profitability · Utilization History
Est. Monthly Margin
EVV Manual Corrections — This Month
0
corrections logged
✅ Within normal range — no red flag
Corrections Pending Admin Action
0
awaiting WellSky update
Click EVV Corrections tab to action
📅 Upcoming Deadlines (Next 60 Days)
JUL
31
Q2 Financial & Service Report
Apr 1 – Jun 30 quarterly report due to MMAC — Email: MMAC.CDS@DSS.MO.GOV
REPORT
Monthly
LEIE/OIG Monthly Screening — All Staff & Attendants
Screen all employees and attendants against OIG exclusion list
MONTHLY
Monthly
Monthly Case Management Contact — All Consumers
At minimum, monthly contact to monitor ongoing service delivery
MONTHLY
OCT
31
Q3 Financial & Service Report
Jul 1 – Sep 30 quarterly report due to MMAC
REPORT
🎯 Compliance Health
Consumer Monthly Contacts
Attendant LEIE Screenings Current
Attendant FCSR Screenings Current
Compliance Checklist Completion
OUR AGENCY
🏠 Caring Companions In-Home Senior Care
Troutman Enterprises LLC | 1331 N Stewart Ave, Springfield MO 65802
📞 417-234-8494 | Toll-free: 866-863-5151
📧 samantha@ccseniorhomecare.com
NPI: 1548725682 | EIN: 82-0968875
EVV: WellSky Personal Care | Portal: mycaringcds.com
KEY CONTACTS
📧 MMAC Contracts: mmac.ihscontracts@dss.mo.gov
📧 Submit Reports: MMAC.CDS@DSS.MO.GOV
📧 EVV Questions: ask.evv@dss.mo.gov
📞 MMAC: 573-751-3399
📞 Fraud Hotline: 573-751-3285
📞 Elder Abuse: 1-800-392-0210
📞 Child Abuse: 1-800-392-3738
⚖️ Regulatory Framework
§§208.900–208.930 RSMo 19 CSR 15-8.100–.500 (CDS) 19 CSR 30-82.060 (Hiring Restrictions) 13 CSR 70-3.020 (Provider Enrollment) 13 CSR 70-3.030 (Fraud & False Claims) 13 CSR 70-3.320 (EVV) RSMo 192.2490 (EDL) RSMo 192.2495 (Disqualifying Offenses) HIPAA / HITECH Senate Bill 710 (Tax Penalties)
Consumer Roster
ℹ️ Agency must perform case management with each consumer at least monthly, and conduct an annual face-to-face home visit. Consumers must be trained on: timesheet prep, fraud identification, allowable tasks, attendant rights, and abuse/neglect/exploitation recognition.
📞 Monthly Contact Tracker —
Consumer NameDCNCountyAttendant(s) Care Plan Hours/WkMonthly ContactAnnual Home Visit Backup PlanConsumer TrainingTax Setup StatusCare PlanActions
👥

No consumers added yet.
Click "Add Consumer" to get started.

🗓️ Monthly Contact History (by Consumer)

Add consumers above to track monthly contact history.

🏛️ State Submission Tracker
🏛️ Referrals & PCCP Transfers Pending Authorization
These contacts have been submitted to DSDS/DHSS and are awaiting state authorization. Track submission dates and follow up every 1–2 weeks.

No pending state submissions.

Care Plan Days
📋 Consumer Form Link
hub.caringcds.com/care-plan/
📅 What this is
The state sets the tasks and how many days a week each one is approved for. The consumer only chooses which days. They do that on the form above, at orientation, and it arrives here signed.

WellSky has no open API, so nobody can push these days into it for you. What this page does instead is lay them out as a week grid you can read straight down while you build the schedule, and keep a signed copy for the consumer's file. Tick Built in WellSky when it is in, and it leaves the queue.
Waiting to be built in WellSky
Already built
📑 Authorizations & Units
📤 Upload authorizations
The DHSS Home & Community Based Services Care Plan PDF, one per consumer. Select as many as you like. Each one gives the authorization number, the plan period, the procedure code and the authorized units for every month, which is what tells us whether services are being used or quietly left on the table.
🗓️ Care planning calendars
The state's CDS Scheduling Worksheet (the Care Planning Calendar spreadsheet). The file is kept exactly as it is, because that is the format the state expects back. The minutes and units are also read out of it so the plan can be checked against what was actually authorized.
The worksheet does not contain the consumer's name anywhere inside it, only in the filename, so pick them above.
📊 Units authorized against units used
ConsumerAuthorizationPlan periodExpires in Units this monthEst. units billedUsedWhat it means
📑

No authorizations uploaded yet.

Units billed are estimated from invoice amounts divided by the unit rate, because the receivables report gives money rather than units. Set the hourly rate under Edit Rates on the Financials page; a unit is 15 minutes, so a quarter of the hourly figure.
💵 Payroll & Wages
📄 Upload Empeon PDFs (Check Register & Payroll Summary)
In Empeon: Reports → File Room, download the Check Register and the Payroll Summary for each payroll, then drop them here. Select as many as you like at once. I work out which report each file is from its own heading, so they can be mixed together, and re-uploading the same payroll replaces it rather than double counting.
The Check Register gives each attendant's pay and their employee id, which is what links them to a consumer. The Payroll Summary gives the run's gross, which is needed because registers show net and DES wants gross. Upload both for a payroll and the gross figures are far better.
📥 Upload a month of billing (WellSky)
The revenue side. Payroll above is what we paid out; this is what was billed. Together they give the real margin per consumer instead of a projection.
📊 Wages by consumer and quarter
ConsumerGross wages$1,000 in a quarter DES registeredAttendantsWhat this means
💵

No payroll uploaded yet.

🧾 Ready for the DES quarterly report
Per consumer, the attendants and gross wages for the selected quarter, in the order UInteract asks for them. Add each attendant's SSN from Empeon as you key it in.
📈 Actual against estimate
The Financials page projects from authorized hours. This is what was really paid.
🧾 Tax & EIN Compliance
🎓 Training & Help
📋 Remediation Worklist
What DHSS audits is two things per consumer: both numbers typed into Fusion under HCBS Eligibility, and acceptable proof uploaded to the Documents tab under EIN Tax Documents. Sorted hardest first. What to do is on the batch cards above; this is the detail behind them.
Consumer Federal EINMO Tax IDDES / UInteract Proof heldIn FusionProof uploaded
🧾

No active consumers yet.

🔀 Three systems — where each number lives
The same two numbers have to be right in three places, and they are maintained separately. Empeon uses them to file payroll returns, Fusion is what DHSS audits, and this hub is our own record. A number can be correct in one and wrong in another, which is exactly how the placeholder EINs went unnoticed.
ConsumerER code Empeon FEINEmpeon State EIN Our recordIn FusionEmpeon needs
🔀

No consumers yet.

What will fail the audit
A W-9 is not proof. It is self-reported, not issued by the IRS. This is the most common way to fail while believing you complied.
A number typed into a letter or spreadsheet is not proof. It has to come from the IRS or the Missouri Department of Revenue with the legal name and number already on it.
The wrong category is not an upload. If it is not filed under EIN Tax Documents, treat it as missing.
Entered but not uploaded, or uploaded but not entered, is still a finding. Both halves are required.
Two free passes: a single document showing both numbers covers both, and no upload is needed at all where a previous CDS vendor already uploaded proof to that case record.
New to this, or training someone?
Step-by-step walkthrough for every part of consumer tax setup, with the exact fields to enter, what needs a wet signature, what gets faxed, screenshots from the state's own vendor packet, and a help assistant that answers questions about any of it.
Open the training →
Attendant Roster
📋 Onboarding via Empeon: Agency enters attendant name & contact info in Empeon → attendant completes all hiring paperwork digitally → once FCSR, EDL, and OIG/LEIE checks clear, attendant is approved to begin serving a consumer.
⚠️ LEIE screening must be done MONTHLY for all employees and attendants. FCSR screening is required before hire and annually (recommended). EDL check required before hire and every quarter. Attendant cannot be the consumer's spouse. If attendant has lived outside Missouri in the last 5 years → fingerprint-based background check required (see below).
🔍 Attendant Screening Status
Attendant Name Consumer(s) Served FCSR # FCSR Last Checked EDL Last Checked LEIE Last Checked Empeon Out-of-State / Fingerprint E-Verify Spouse Check Contract On File EVV Active Actions
🧑‍🤝‍🧑

No attendants added yet.
Click "Add Attendant" to get started.

📋 Monthly LEIE Screening Log

Record monthly OIG/LEIE screening completions for all staff and attendants. Screen at exclusions.oig.hhs.gov →

Month Screened By Date Completed # Individuals Screened Findings Documentation
No LEIE screening records yet.
Onboarding Checklists
🎓 Orientation Completions

Every finished online orientation posts itself here the moment the learner completes it — name, date, score, and whether all seven acknowledgments were checked. This is the case-file proof of training per 19 CSR 15-8.400(5)(H)5: print the learner’s completion page for the file, and use this list to see who has finished without waiting for paper. Courses live at caringcds.com/consumer-orientation/ and /attendant-orientation/.

Loading…
👤 New Consumer Onboarding Checklist

All documents are collected via GoHighLevel e-sign and the orientation is self-serve, so no in-person meeting is required. The annual home visit is the only in-person contact. There is still an onboarding specialist call before the first shift, at step 11b.

STEP 1 — ELIGIBILITY & AUTHORIZATION
1
Receive & Date-Stamp Authorization — Clock Starts Now
Stamp the date received on the authorization immediately upon receipt. Services must begin within 7 calendar days (or the authorization start date, whichever is later). If you cannot start in time, place written justification in the consumer's file and send a copy to the DHSS case manager. Confirm consumer is MO HealthNet eligible, 18+, able to self-direct care.
Reg: 19 CSR 15-8.400 §5; P&P Policy 5
2
Review DHSS-Approved Plan of Care
Obtain the approved plan of care from DHSS/DSDS. Note the authorized hours, units, and specific tasks. Services must be delivered strictly per the care plan — do not provide any task not authorized.
Reg: CDS Program Req. §2.2
3
Verify TPL Insurance & Medicare Before Proceeding
Ask the consumer about other insurance coverage before billing MO HealthNet. If they have private insurance or Medicare, that must be billed first — MO HealthNet is payer of last resort. Verify via IVR: (573) 635-8908 or emomed.com. Document TPL status in consumer file.
Reg: P&P Policy 9; CDS Program Req. §3.3(c)
STEP 2 — CONSUMER ENROLLMENT PACKET (GoHighLevel)
4
Send Consumer to caringcds.com/onboarding — Two-Step GoHighLevel Flow
Direct the consumer to caringcds.com/onboarding. This is a connected two-step GoHighLevel flow — their basic info prefills all documents automatically:
  • Step 1 (caringcds.com/onboarding) — Consumer fills out basic info survey; info prefills all enrollment documents
  • Step 2 (caringcds.com/onboarding-packet) — Consumer reviews and e-signs all prefilled enrollment documents, including: Consumer Vendor Acknowledgement, Authorization to Obtain Employment Numbers, Previous CDS Vendor Authorization (PCCP transfers), Telephony/EVV Consent Form, Consumer Emergency Back-Up Plan, Form 8821, Form SS-4, Form 2678, Form 2643A, Form 2827
⚠️ Do NOT send the Training Acknowledgement Form in this packet — consumer must complete orientation first (Step 3 below).
Reg: CDS Program Req. §2.3(e); P&P Policy 3
STEP 3 — CONSUMER ORIENTATION (Before Training Ack)
5
Direct Consumer to Complete Online Orientation
Send consumer to caringcds.com/orientation to:
  • Watch the CDS orientation videos
  • Review the CDS Handbook
The orientation covers all required training topics: consumer eligibility, plan of care, consumer responsibilities and rights, what consumers are not allowed to do, emergency backup plan, maintaining eligibility, denial/termination/reduction, grievance procedures, disaster policy, how to recruit/hire/train/supervise attendants, vendor responsibilities, required background checks, attendant qualifications and responsibilities, mandated reporting, fraud prevention, HIPAA, EVV, allowable/non-allowable tasks, and essential transportation.
Reg: 19 CSR 15-8.400; MMAC Vendor Responsibilities; P&P Policy 7
6
Send Training Acknowledgement Form via GoHighLevel (After Orientation)
After consumer has watched the videos and reviewed the handbook, send the Consumer Training Acknowledgement Form via GoHighLevel for e-signature. This form documents that the consumer has been trained on all required CDS program topics. Acknowledgement form must be placed in consumer file. If consumer needs help, offer to walk them through orientation by phone.
Reg: CDS Program Req. §5.18; P&P Policy 7
6b
Collect Their Scheduling Preferences
The state's plan of care fixes the tasks and how many days a week each one is approved for. The consumer chooses which days. Take those choices on hub.caringcds.com/care-plan/, which holds them to the approved number of days and will not let them pick a fourth day on a three-day task.

It arrives signed under Consumers → Care Plan Days laid out as a week grid to build the WellSky schedule from. Tick Built in WellSky once it is in. WellSky has no open API, so nothing can push it there for you.
Replaces the old GoHighLevel scheduling preferences document, whose signed output was an image nobody could read
STEP 4 — PROCESS TAX FORMS (After Signed Packet Received)
7
Submit SS-4 — Obtain Federal EIN for Consumer
Using the signed SS-4 and Authorization to Obtain Employment Numbers, obtain the consumer's Federal EIN online via irs.gov. Consumer is registered as a "Household Employer (HCSR)." Record EIN in consumer file.
8
Submit Form 8821 & Form 2678 to IRS
File Form 8821 (Tax Information Authorization) and Form 2678 (Appointment of Agent) with the IRS. These authorize Caring Companions to handle federal payroll tax reporting and payments on the consumer's behalf. Form 2678 covers Forms 940 and 941.
9
Submit Form 2643A & Form 2827 to Missouri
Submit MO Form 2643A (Tax Registration — "New Consumer-Directed Services Participant") to MO Department of Revenue. Submit Form 2827 (MO Power of Attorney — Withholding) to authorize Caring Companions for state tax matters. Mail to: Taxation Division, P.O. Box 357, Jefferson City MO 65105-0357. Note consumer's MO Tax ID when received.
MO Revenue: (573) 751-5860 | businesstaxregister@dor.mo.gov
10
Register Consumer in UInteract (DES) — Missouri UI Tax Only
⚠️ Timing: UInteract registration can ONLY happen AFTER first payroll is issued AND consumer has paid at least $1,000 in wages in a single quarter. Do not attempt before then — DES will not issue an account number.

NEW Consumer (never had a CDS vendor before):
Login to uinteract.labor.mo.gov → Employer Registration → Register Employer. Enter consumer's EIN and SSN. Type of Organization = "Individual Ownership." Business type = "Health Care / Social Assistance / Services for Elderly and Persons with Disabilities." Domestic employment = Yes. Enter consumer's home address as headquarters. Enter wage history (gross wages per quarter). Submit. The confirmation screen shows the consumer's MO Unemployment Tax Account Number (EAN) and is the only place it appears during registration, so record it before closing the window. If you lose it: Inquiry → Tax Inquiry → Client List Details lists every consumer with their EAN. The full screen-by-screen walkthrough is in the consumer's Tax Setup window under step 5.

TRANSFERRED Consumer (came from another CDS vendor):
If you are not sure whether they were with another vendor, try registering them in UInteract first. If it errors, they are a transfer. Then email MODES-5083 (Transferred Consumer Registration form) to cdstax@labor.mo.gov after their first payroll with you. Need: consumer's EIN, SSN, first payroll date with you, name of previous vendor. Download form: labor.mo.gov/media/22536/download

After registration: File quarterly wage reports per consumer (Q1 Apr 30 / Q2 Jul 30 / Q3 Oct 31 / Q4 Jan 31). Wages reported under consumer's account — NEVER under Caring Companions' account. Separate payment per consumer — do NOT combine.

Parent attendant exception: If attendant is a parent of the consumer, wages are NEVER reportable for UI purposes — do not report them.
General questions: cdstax@labor.mo.gov | 573-751-1995 Opt. 1 | Delinquent/penalties: Christopher Matzke 573-751-1867 | Wage reporting/adjustments: Kristie Riedmann 573-751-1995 x4105
10b
Local Tax Registration — Kansas City or St. Louis Consumers Only
If the consumer lives within Kansas City or St. Louis city limits, register for local payroll taxes. Not required for other Missouri locations.
STEP 5 — SETUP & GO-LIVE
11
Set Up Consumer in WellSky Personal Care (EVV & Billing)
Enroll consumer in WellSky Personal Care — our EVV AND billing platform. Confirm attendant and consumer both understand EVV clock-in/clock-out procedure and the Saturday 11:59 PM weekly correction deadline. All MO HealthNet billing flows through WellSky. Portal: mycaringcds.com
11b
Onboarding Specialist Call — Before the First Shift
The orientation is self-serve, but somebody rings them before the first shift. It is not a courtesy call: it is where the things that stop them being paid get caught.

Cover three things:
1. Can the attendant actually clock in? Either the WellSky Personal Care app on their own phone, or telephony from the consumer's home phone if that suits them better. Have them do it while you are on the line rather than taking their word for it. Getting this wrong means unpaid hours, not a warning.
2. What to do when a shift needs correcting. Walk them through the EVV Correction Form, which is how they ask us to change a shift, and the Saturday 11:59 PM deadline each week. Nobody reads that page for the first time calmly, so show them before they need it.
3. Anything left over from the orientation. They have just read the handbook and watched the videos on their own, so ask what did not make sense.
Also the moment to confirm the scheduling preferences from step 6b match what they expect
12
Establish Consumer Case File
Create complete consumer file with all of the following:
  • Date-stamped authorization + Plan of Care
  • All signed GoHighLevel e-sign documents (Vendor Ack, Auth to Obtain Numbers, Previous Vendor Auth, EVV Consent, Training Ack)
  • Signed Emergency Back-Up Plan (names + phone numbers of backup caregiver)
  • TPL/insurance documentation
  • All tax form copies (SS-4, 8821, 2678, 2643A, 2827)
  • EVV and WellSky enrollment confirmation
Reg: CDS Program Req. §5.23; P&P Policy 6
13
Schedule First Monthly Case Management Contact
Begin monthly monitoring cadence — phone or in-person. Document all contacts in consumer file. The required annual face-to-face home visit counts as a contact; schedule it within the first year.
Reg: 19 CSR 15-8.400(4)(F)
🧑‍🤝‍🧑 New Attendant Onboarding Checklist

Two platforms, in this order: the application is a GoHighLevel document, and Empeon is for the hiring paperwork once the checks come back clear. No in-person meeting required. Complete ALL steps before the attendant begins providing services, no exceptions.

STEP 1 — INTAKE (Attendant Self-Serve)
1
Send the Attendant Application — GoHighLevel, Not Empeon Yet
Send the attendant application as a GoHighLevel document for e-signature. This comes before Empeon: the application is what lets us run the checks, and there is no point setting somebody up for payroll who has not cleared them.

The application must capture: (a) disclosure of ALL criminal convictions and pleas; (b) authorisation to obtain criminal background information; (c) consent to release closed records (§610.120 RSMo); (d) ALL aliases and SSNs ever used; (e) whether they have lived outside Missouri in the last five years.

Do not run any background check until the signed application is back, because the consent to look is on it.
Platform: GoHighLevel documents | Reg: CDS Program Req. §4.2.1
STEP 2 — PRE-HIRE SCREENING (After Signed Packet Received)
2
FCSR — Family Care Safety Registry Check
Screen ALL aliases and ALL SSNs disclosed. Check for: criminal history, sex offender registry, child abuse records, DHSS EDL, DMH EDR, child care license revocations. Retain documentation on file. If finding — verify whether disqualifying under RSMo 192.2495.
Reg: CDS Program Req. §4.1; 19 CSR 30-82.060
3
EDL — Employee Disqualification List Check
Check Missouri EDL at health.mo.gov/safety/edl — screen ALL known aliases. Do NOT hire anyone listed. Retain documentation.
Reg: RSMo 192.2490; CDS Program Req. §4.1
4
LEIE — OIG Exclusion List Check
Screen at exclusions.oig.hhs.gov. Screen ALL known aliases. Retain proof. Any exclusion discovered must be reported to MMAC immediately.
Reg: CDS Program Req. §5.2
5
Out-of-State Check — Has Attendant Lived Outside Missouri in Last 5 Years?
If YES: FCSR data is Missouri-only — you must also obtain background checks (criminal history, sex offender, child abuse/neglect registry) from each state the attendant lived in during the past 5 years. Additionally, a fingerprint-based background check is required for a national FBI criminal history search via Missouri State Highway Patrol (MSHP). Submit FBI FD-258 fingerprint card to MSHP CJIS Division, PO Box 9500, Jefferson City, MO 65102-9500 (4–6 week processing), or use IDEMIA (MO's fingerprint vendor) at (844) 543-9712. Out-of-state applicants can be fingerprinted by local law enforcement in their state. If NO (MO resident 5+ years): Standard FCSR check is sufficient for state criminal history.
MSHP CJIS Division: 573-526-6153 | IDEMIA: 844-543-9712 | FCSR: Missouri data only
6
Verify Attendant is NOT Consumer's Spouse
Attendant can be a family member (parent, sibling, child, grandparent) but CANNOT be the consumer's spouse or legal guardian. Obtain verification if needed.
Reg: §208.909; CDS Program Req. §4.4.1
7
E-Verify — Work Authorization
If agency qualifies as a "business entity" under RSMo 285.525, must enroll and participate in E-Verify. Run E-Verify on all new hires.
Reg: CDS Program Req. §4.5; RSMo 285.530
STEP 3 — HIRE DOCUMENTATION (After All Checks Clear)
8
Checks Cleared — Now Invite Them Into Empeon
Only once FCSR, EDL and OIG/LEIE have all come back clear, plus the fingerprint check if they have lived out of state, invite the attendant into Empeon for the hiring paperwork: W-4, I-9, direct deposit and the attendant contract. Empeon invitations are manual, so this is a person doing it, not an automation. Then they may begin serving a consumer.

⚠️ FCSR Disqualifying Finding? If FCSR returns a disqualifying offense, the attendant CANNOT work under ANY circumstances until a Good Cause Waiver (GCW) is applied for AND approved by DHSS. Conditional employment is never permitted while awaiting GCW. If GCW is denied — the attendant cannot be hired. Reg: P&P Policy 13; CDS Program Req. §4.3
9
Execute Attendant Contract
Agency must have a contract with each personal care attendant. Even though the attendant is the consumer's employee, the vendor maintains the contract.
Reg: CDS Program Req. §4.4.1
10
Report New Hire to State of Missouri
Report new hire to Missouri Division of Employment Security (new hire reporting requirement). File under consumer's EIN.
11
Obtain FCSR Registration Number
Obtain attendant's FCSR number — required for EVV system. Record in attendant file.
11b
⚠️ Issue & Mail Permanent Agency ID Card to Attendant
This is a gap currently being implemented. At time of employment, mail a permanent ID card to the attendant. Card must display: (1) Agency name (Caring Companions), (2) Attendant's full name, (3) Title (Personal Care Attendant), (4) Attendant's signature. Attendant must carry this card at all times while working. Upon termination: request card be returned by mail. If unable to recover, document recovery attempts in writing and place in file.
Reg: P&P Policy 6 & 8; CDS Program Req. §5.6
STEP 4 — TRAINING & SETUP
12
Train Attendant on WellSky Personal Care (EVV)
Attendant must understand how to check in and out, either through the WellSky Personal Care app or by telephony from the consumer's home phone if that works better for them (portal: mycaringcds.com). EVV Correction Forms due by Saturday 11:59 PM each week. Train on fraud consequences of falsifying EVV. Attendant's FCSR# must be captured in EVV.
Reg: 13 CSR 70-3.320
13
Orient Attendant on Consumer's Care Plan
Attendant should understand the consumer's authorized tasks, hours, and limitations. Services must be delivered per the approved care plan only.
14
Orient Attendant on Fraud Prevention
Do not leave early without adjusting EVV. Do not claim hours not worked. Do not use EVV when consumer is hospitalized. False claims = fraud.
15
Payroll Setup Under Consumer's EIN (via Empeon)
Set up attendant in payroll system under the consumer's EIN (NOT Caring Companions' EIN 82-0968875). Pay rate: $15/hour. Direct deposit processes Thursdays (Wed before major holidays). Withhold and remit FICA, Medicare, federal and state income tax. Register attendant wages under consumer's UInteract account at uinteract.labor.mo.gov.
16
Establish LEIE Monthly Screening Schedule
Add attendant to monthly LEIE screening roster. Screen all aliases monthly. Document each screening.
Reg: CDS Program Req. §5.2 — Monthly requirement, non-negotiable
STEP 5 — ONGOING (POST-HIRE)
17
EDL Quarterly Re-Check
Re-screen all attendants against EDL every quarter. Document date and results.
Reg: RSMo 192.2490
18
FCSR Annual Re-Screen (Recommended)
DHSS recommends annual FCSR re-screening of all employed attendants. Document per PM-VM 17-31 guidance.
EVV Manual Corrections
📋 Attendant Form Link
hub.caringcds.com/evv-form.html
🔄 Required Correction Workflow — Follow Every Time
1️⃣
Attendant Submits
Attendant completes the Daily EVV Correction Form — explains what happened, what the correct time should be, and why. Must be submitted before admin makes any change.
2️⃣
Admin Reviews
Admin verifies the correction request against the consumer's care plan and any other available records. Approves or denies the correction.
3️⃣
Update WellSky
Admin updates the visit in the WellSky Personal Care calendar with the corrected clock-in/out times so the attendant is paid for the actual shift worked.
4️⃣
Log & File
Log the correction here. File the signed correction form in the attendant's file AND the consumer's file. Both must retain the documentation.
⚠️ Monthly Volume Monitor — EVV Compliance Tracker
⚠️ Missouri Medicaid (MMAC) treats high manual correction rates as a potential fraud indicator. Our internal standard is ≥95% real-time EVV compliance, meaning no more than 5% of visits should ever need a manual correction. Each correction must have a legitimate, documented reason and a signed form on file. If MMAC audits, every manual adjustment will be scrutinized. (MMAC has not published a specific numeric threshold; 95% is Caring Companions' internal compliance target.)
0
Total corrections this month
0
Highest single-attendant count
Internal thresholds
✅ Target: ≥95% real-time EVV rate
🟡 Agency-wide: 5+ corrections/month = review
🔴 Agency-wide: 10+ = red flag
🔴 Per attendant: 3+/month = red flag

No corrections logged this month.

📬 Pending Form Submissions

Loading submissions…

📋 Correction Log —
# Date of Visit Attendant Consumer Original Time Corrected Time Reason Correction Form WellSky Updated Status Actions
📝

No corrections logged yet.
Click "+ Log New Correction" to add one.

📌 EVV Correction Policy & Acceptable Reasons
✅ Acceptable Reasons for Manual Correction
  • Phone was dead / no battery at clock-in or out
  • App crashed or technical error (screenshot recommended)
  • No cell service at consumer's location (rural area)
  • Attendant forgot to clock in or out (occasional — not recurring)
  • WellSky app update caused disruption
  • Consumer's home phone not available for landline EVV
🚫 Red Flags — Patterns That Trigger MMAC Scrutiny
  • Same attendant requesting corrections repeatedly
  • Corrections that extend shift time (not just fix a missed clock)
  • Corrections submitted days after the visit (not same day)
  • No signed correction form on file for an adjustment
  • 3+ corrections in one month for the same attendant
  • 10+ corrections agency-wide in one month
  • Pattern of corrections always on the same day/consumer
⚠️ Documentation Rule: Every manual adjustment in WellSky must have a corresponding signed EVV Correction Form on file before the correction is made. If MMAC audits a claim and there is no form, the adjustment looks fraudulent. Saturday 11:59 PM weekly deadline still applies — corrections for the week must be in before that cutoff.
🤖 Outreach Automations
🔄 GoHighLevel Contact Sync

Pushes everyone in this hub into the Caring Companions CDS GoHighLevel account as contacts, so you can text, email and campaign them from there. Pipeline contacts get the lead tag, consumers get consumer, attendants get attendant. This only ever adds and updates in GoHighLevel, it never deletes, and it never changes anything in this hub. Safe to run as often as you like.

Adding someone to the pipeline already tags them in GoHighLevel automatically. Use these buttons to catch up anyone added before this was connected, or after editing a phone number or email.

⚠️ Pending Outreaches

People who need an outreach that hasn't been sent yet.

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📤 Quick Send

Trigger any outreach for any person without navigating to their tab.

🕐 Scheduled Automations
📱 Friday EVV Reminder
Runs every Friday at 9 AM
Reminds you to send EVV deadline alert to all active attendants
📋 Care Plan Digest
Runs every Monday at 8 AM
Reminds you to review consumers with expiring care plans
Bulk EVV Reminder → go to EVV Corrections tab → click 📱 Friday EVV Reminder → paste command here in Claude.
📋 Outreach Log

No outreaches logged yet.

📈 Financial Dashboard
💵 Actual results
Projected from authorised hours & rates
💸 Rate Analysis
📉 Revenue Leakage — Underutilization
👤 Per-Consumer Monthly Profitability (based on authorized hours)
📊 Quarterly Revenue History (from delivered units entered in Quarterly Report tab)
🚀 Growth Opportunity
🤝 Caregiver Pool
🔗 The sign-up link to share
Anyone who fills this in lands in the list below. Post it on Facebook, text it to an attendant who knows someone, or hand it out. No login, works on a phone, and it never asks for a Social Security number.

The public page is called "Join our caregiver list", not a backup list, because these people can be hired full time or part time as well as for fill-in cover. Calling it a backup list publicly would put people off applying.
↗ Open
🗺️ Coverage by county
How many people in the pool are willing to work each county, counting only those who are cleared or further along. A county in red means that if an attendant there quits tomorrow, you have nobody screened to call.
📋 The pool
📋 Missouri CDS Quarterly Report Prep
ℹ️ This page auto-calculates Sections II, III, and IV from your tracker data. Enter Section V payroll numbers manually from Empeon. When complete, use the Copy Summary button to transfer values to your MMAC form.
⚠️ Section II — Complaints & Grievances

From the Missouri CDS Financial & Service Report — all complaints received during the quarter, by category and reporter. Click "Log Complaint" to record a new one.

📵 Section III — Missed Monthly Contacts

Auto-calculated from your monthly contact logs. Any consumer without a logged contact for a month in this quarter counts as "missed."

⚠️ The state form requires a separate DCN list with reasons for all missed contacts. Use the list above as your source.

📊 Section IV — Financial Utilization

Authorized units are calculated from each consumer's authorized hours/week × 13 weeks × 4 units/hour. Enter Units Actually Delivered from your WellSky EVV report for the quarter.

💰 Section V — CDS Attendant Payroll (enter from Empeon)

These numbers come from Empeon payroll. Enter them here to keep everything in one place for the report.

📄 Report Summary — Ready to Transcribe