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Web Portal User Manual - PCG Public Partnerships

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1. Consumer Demographic Information PPL Consumer ID optic C004306 DMA DO 000000000000 When the Consumer Profile opens up scroll to the bottom of the page and click on the Edit Consumer tab This will open the consumer profile page 43 Public PCG Partnerships C IWwanrara m4 s 7 Cw a a g PH 7 a K i E eS SKN TM Suppo ang Choice Managing OSTS Email Service Facilitator E Facilitator UNASSIGNED er Associat d Providers Consumer Copay 2 When the profile opens scroll to the bottom of the Consumer Demographic Information section where you see the line for Stop Mailing FFR District Central Date of Birth 11 18 58 SSN 999445555 Gender F FIPS Code 089 Primary Language Physical Address 4991 LAKE BROOK DRIVE Physical City GLEN ALLEN Physical State Virginia 23060 TESTSERVICEFACILITATORAGENCY 1 Yes No 3 To Stop Mailing select Yes or to continue receiving in the mail you will select No 4 To finish scroll to the bottom of the profile and click on Update Submit Feedback If you have questions or concerns while accessing the portal you can select Submit Feedback from the green bar to contact PPL Your question will be sent via email to a representative from PPL staff and will be answered within 24 hours 44 Public PCG Partnerships Supporting Choice Managing Costs Budget Summary Contact Us Hours of Operat
2. O Print Timesheet Show printable version PDF To view a printable version of the timesheet select the Show printable version PDF tab at the bottom of the viewable timesheet as shown above This will bring up the PDF timesheet for you to save to your computer and or print Print View Pay Stub To view your paystub click on the check number you wish to view print in the Check Number column in your Timesheet List Timesheet End Date Submitted Date Submitted By Consumer Name Status T Dp i 01 01 2014 04 02 2014 tfaba SF TRAINING SAVED 08 22 2012 08 31 2012 SF TRAINING PAID 047417 lick h 08 22 2012 08 31 2012 SF TRAINING PAID a Click on the 08 08 2012 08 17 2012 SF TRAINING PAID 1038500 Check Number 07 25 2012 08 17 2012 SF TRAINING PAID 1038500 07 11 2012 08 17 2012 SF TRAINING PAID 040307 07 11 2012 08 17 2012 SF TRAINING DENIED 23 Public PCG Partnerships Supporting Choice Managing Costs View the Pay Stub a S Fee me arte eee mare tee aera oo 8 e ee se ee poun o a ied e eee een acme e we ts eee e om Saro manns m 0 mes Foe _ _ e ees e _ raa m oaea pn r mems or a E T ee _ as a s s lt e a gt meere twe2rere Cere oare Peddie Pee te Eee et FOU IG a ht o
3. You no longer need a username and password Please select your state ai a lt from the dropdown menu to get program forms and information e pr lt Alt a i Click on the areas under the Resources tab for helpful information VA DMAS Training Page NEW PPL Web Portal NEW USCIS Form l 9 Changes 55
4. 24 Public PCG Partnerships Supporting Choice Managing Costs Turning Pay Stub Mailing On Off To edit the method of receiving your pay stub in portal take the following steps 1 Attendant selects My Profile from the green head bar at the top 2 Scroll to Preferences Stop Mailing Remittance Advice line Select No to continue receiving your pay stub by mail Select Yes if you intend to review and print your pay stub directly from portal 3 Scroll to the bottom of the profile and hit Submit Email Social Security Number 888667777 Date of Birth 12 23 1959 Gender Male T Blocked Yes No Race White or Caucasian Is used for internal testing Help Preferences Stop Mailing Remittance Advice 25 Public iM G Partnerships Supporting Choice Managing Costs Updating Attendant Address and Phone Number in Portal 1 Select My Profile from the green header bar W Virginia s Medicaid Programs Consumer Search My Profile Timesheets Submit Feedback Create Timesheet Search Timesheet 2 Enter or Edit your address or phone number contact information Mailing Zip 730 Enter or Change Phone Number optional 115 Information where Ext optional fields allow Alternate Phone Number optional Public PCG Partnerships Peate Yas DA e a cw l y Pa Fa oupporung Choice Aanag 9 zing Costs 4 7 Consu
5. Timesheet List IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC CALL 1 866 259 3009 OPTION 3 Timesheet Status Unpaid Y o improve the timesheet submission process the default has been changed to Unpaid Timesheet Start Date Range any a any E Timesheet Submitted Date Range any a any Ba Check Number Timesheet Status gt Submitted The provider has submitted the timesheet and is awaiting consumer EOR approval gt Approved The timesheet has been approved by the consumer gt Rejected The timesheet has been rejected by the consumer 20 Public PCG Partnerships gt In Progress PPL is processing the timesheet for payment Status should change to Paid on the next payroll date gt Good To Pay The timesheet has been approved has passed all edits and is ready to pay gt Pending timesheet is currently unable to be paid due to a pending issue Click on View to review reasons for pending timesheet gt Denied timesheet has not passed program rules gt Paid Funds have been pulled and timesheet has been paid Expect payment within regular waiting time from date of payment You have the option of viewing your paystub using this status gt All Selecting this status will bring up a list of all timesheets for the provider in any of the above Once a status has been selected for timesheets click Search 21 Public PCG Partnerships Supporting Choice Managing Cos
6. SSN Last Name Previous Next In the Attendant Role you will create and submit timesheets for your Employer to review and submit to PPL Attendant will need 1 Provider ID If you were enrolled as an Attendant in Consumer Directed Services before July 18 2011 your Provider ID should be the first four 4 letters of the last name followed by three 3 numbers provided by PPL lf you were enrolled as an Attendant AFTER July 18 2011 use the Provider ID beginning with the letter E that PPL sent you 2 Mailing Zip Code This must match the zip code you provided and is on record with PPL If you have moved since you started working in the CD program you will need to update your address with PPL to register 3 SSN Social Security number of the Attendant Provider 4 Last Name Last name of the Attendant Provider Creating your Username and Password 3 Public P 3 G _ Partnerships New User Registration Step3 User Information Last Name TRAINING Email Address First Name User Name Optional Password Confirm Password Notes Security Questions Select Select Select Previous 1 Enter First and Last Name 2 Create Username and Password Confirm Password Your password must be at least 6 characters long and contain at least one alpha character letter and one numeric character number 3 Add an Email address Optional 4 Select you
7. TRAINING 804 665 2115 IP Print Forms Checklist Complete Yes s i e Fork date of 03 12 2015 A different work date may yield a different result To avoid risk of fraud EOR s should review the list of Active Attendants regularly If the Attendant has stopped providing services for the Consumer the EOR must submit the Notice of Discontinued Employment Form to PPL The Attendant will then be moved to the Disassociated Provider List so that no further timesheets or payments can be processed to the Attendant Update Consumer Information in Portal 50 Public lM G Partnerships Supporting Choice Managing Costs Consumers can update the telephone and email contact information directly in the portal 1 Click on My Profile from the top green header bar Budget Summary Consumer Forms My Profile Timesheet List Submit Feedback ee 2 Scroll to the bottom of the profile and click on the Edit Consumer tab C Edit Consumer Associated Providers Consumer Copay 3 You will have the option to change phone or email information only Consumer Demographic Information PPL Consumer ID optional C004306 Enter or Update DMAS ID 999999999999 Information where Telephone optional 804 665 2115 fields allow Email Address optional Alternate Telephone optional 4 When you are finished making the change scroll to the bottom of the profile and click on
8. You will see them listed as either Active Inactive Associated and currently working for Consumer Disassociated or no longer working for Consumer To view all Attendants 1 Go to My Profile from the green header bar 2 Scroll to the bottom of the profile and click on the Associated Providers tab r Email Service Facilitator Serice Facilitator UNASSIGNED meL Associated Providers Consupa 47 Public i G Partnerships Supporting Choice Managing Costs All Associate Attendants will be viewable at the top beginning with the PPL Provider I D and Name Virginia Department of Medical Assistance Services Virginia s Medicaid Programs Budget Summary Consumer Forms My Profile Timesheet List Submit Feedback Associate Providers to Consumer C004306 SF TRAINING Provider ID Provider Name Phone Number Provider Type Print Forms Cong4mer Provider Checklist E017404 SFPROV TRAINING 804 665 2115 IP Print Forms ChecNi Checklist Complete and Good To Go assume a work date of 03 12 2015 A different work date may yield 2 Tifeneiiskmmkii Show Disassociated Providers Complete Yes Back View the status of the Attendant by looking at the Provider Checklist Column Status Complete Yes Attendant has completed the hiring process checklist and is Good to Go Complete No Attendant has not completed the hiring process checklist and is not yet Go
9. authorization to date You can refine your search for timesheets paid against the authorization but using the Service Date and list of Attendants 41 Public _ Partnerships qv a 711 m Supporting Choice Managing Costs aid 551 12 Hide Detail Service Date from 6 29 2012 S to 7 11 2012 Render as PDF Click Next id Provider Service Service Date Units Pay Rate Billable Rate Line Amount Check No Check Date VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 06 29 12 5 00 3 77 9 68 438 40 1040307 08 24 12 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 06 30 12 5 00 3 77 9 68 438 40 1040307 08 24 12 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 07 02 12 5 00 8 86 9 77 43 85 1040307 08 24 12 VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 07 03 12 5 00 8 86 9 77 48 85 1040307 08 24 12 VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 07 04 12 5 00 3 86 9 77 43 85 1040307 08 24 12 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 07 05 12 5 00 3 36 9 77 438 85 1040307 08 24 12 VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 07 06 12 5 00 8 86 9 77 48 85 1040307 08 24 12 VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 07 07 12 5 50 3 86 9 77 53 74 1040307 08 24 12 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 07 09 12 5 50 3 36 9 77 53 74 1040307 08 24 12 VA0002044112 SFPROV TRAINING 5126 Atte
10. 0 77 39 66 43 40 1040307 08 2412 VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 07 02 12 5 00 50 06 39 77 48 85 1040307 082412 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 07 03 12 5 00 36 06 77 548 85 1040307 08 2412 To search specific service dates and or for your Quarterly Service Reports enter your search date or range aid 551 12 SeniceQate from 6 29 2012 al to 7 11 2012 a cer Render as PDF lt lt Click Next ld Prowider Service Service Date Units Pay Rate Billable Rate Line Amount Check No Check Date VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 06 29 12 5 00 50 77 59 66 46 40 1040307 OW24 12 VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 06 30 12 5 00 50 77 59 66 48 40 1040307 08 2412 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 07 02 12 5 00 36 06 39 77 48 85 1040307 02412 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 07 03 12 5 00 36 06 39 77 348 65 1040307 082412 To search for a specific Attendant s timesheets you may select a provider from the Provider List Select the Attendant and then click on Filter 40 Public PCG Partnerships Supporting Choice Managing Costs Total invoiced C Hide Detail Total Paid 3 507 4 Total Paid i Oce Decal The highlighted Paid Detail is a running total amount of funds paid from the consumer
11. Hours Service Type 5126 Attendant Care Services Unit Increment 15 minutes Cosxemer Name TRAINING SF Total in unit 240 00 units Consumer Id C004306 EES Date Range 6 29 2012 7 11 2012 Authorized Units 60 00 Hours Last Modified 7 21 2012 1 05 00 AM Date Created Invoiced Units 0 00 Hours Created By Paid Units 237 00 Hours Remaining Units 177 00 Hours Notes Referral Status Approved Total Invoiced 0 00 Total Paid 551 12 Revision History Show Revision iadi iedoti The highlighted Show Detail or Total Paid field will display information regarding the number of hours used by attendants during each pay date Click on Show Detail to see information for timesheet check number and date in this field This search allows you to view the usage submitted and amount paid by service date You will have convenient search fields for researching your provider attendants submitted and paid timesheets 39 Public PCG Partnerships Supporting Choice Managing Costs aid 551 12 Hide Detail Service Date from 6 29 2012 ji to 7 11 2012 Ha Fiter Render as PDE lt lt Click Next kd Provider Service Service Date Units Pay Rate Billable Rate Line Amount Check No Check Date VAO0002044112 SFPROV TRAINING 55126 Attendant Care Services 06 29 12 5 00 30 77 39 66 548 40 1040307 08 2412 VA0002044112 SFPROV TRAINING 55126 Attendant Care Services 06 30 12 5 00 3
12. PPL Contact Information Mailing Address VA DMAS Consumer Public Partnerships LLC Mailing address used for mailing information to PPL 4991 Lake Brook Drive Suite G90 Glen Allen VA 23060 Customer Service Contact Information Email pplva pcgus com Customer service may be contacted by email and phone Phone 1 866 259 3009 PPL staffs a fully integrated Customer Service Call Center that operates from 8 00 a m to 8 00 p m daily Monday through Friday and from 9 00 a m to 1 00 Spanish Speaking Select Option 2 when calling p m on Saturdays TTY 1 800 360 5899 Virginia Relay Service 7 1 1 Fax paperwork Faxing for any documents that can be faxed to PPL other than timesheets Administrative Fax 1 866 709 3319 Timesheet Fax Faxing timesheets ONLY Do NOT include FAX cover for timesheets 1 888 564 1532 54 Public lM G Partnerships Supporting Choice Managing Costs PPL Information Website Please visit the Public Partnerships LLC information site for additional assistance with forms instructions and training Go to www publicpartnerhips com Select the State Virginia Select Program Consumer Directed Fiscal Agent Consumer EOR Attendant C www publicpartnerships com Select a Program Mig Public eer Partnerships Supporting Choice Managing Costs Home About Us Who We Serve Services Consulting Services Contact Us i M AN Its easier to get your program documents
13. Public PCG Partnerships Web Portal User Manual Including E Timesheet Instruction and PPL Web Portal Self Service Features 2015 VIRGINIA DMAS CONSUMER DIRECTED SERVICES PROGRAM PPL Customer Service Phone 1 866 259 3009 PPL Fax 1 866 709 3319 PPL Email pplva pcgus com 1 Public PCG Partnerships Table of Contents Web Portal Registration and Login Attendant Self Service Features Creating and Submitting Timesheets Searching and Viewing Timesheets Viewing Printing Pay Stub Turning Pay Stub Mailing On Off Update Address and Phone Number Consumer Employer of Record Self Service Features Timesheet Review and Approval Review Authorizations Turn On Off Quarterly Service Reports Print Forms Review Attendants Update Information in Portal 2 Public P C G Pasimersnigs Frequent Timesheet Pending Messages Frequently Asked Questions PPL Contact Information Public Partnerships Information Website 3 Public PCG Partnerships Supporting Choice Managing Costs Welcome to the PPL Web Portal System Web Portal Registration and Login 1 First type in the web address provided below into your browser we recommend saving this to your favorite so that you don t have to keep typing it in https fms publicpartnerships com PPLPortal Login aspx dmas 2 The login screen below will appear Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Your PPL We
14. STE function can be used Select Copy for the Time In and Time Out line that will be used Select PASTE and apply to each date on the timesheet where the hours are the same Hours can also be edited using the Remove Time button beside the listed Time In and Time Out hours Once completed select Next at the bottom of the schedule 15 Public PCG Partnerships Supporting Choice Managing Costs T There are more hours Copy Paste 12 31 2013 Tuesday Time Out There are more hours Copy Paste 01 01 2014 Wednesday Time Out PUBLIC tye Copyright 2014 Public Partnerships LLC All Rights Reserved Privacy Policy System Requirements Ter PARTNERSHIPS tte T T There are more hours I Copy Paste The below timesheet screen will appear with tabs at the bottom 12 27 2013 Friday 12 23 2013 Saturday 12 29 2013 Sunday 12 30 2013 Monday 12 31 2013 Tuesday 01 01 2014 Wednesday 3 hours mihe same person whose name and signature PPL has on file hereby certify under penalty of perjury that the informa Submit The Attendant will have the option to Edit Save My Work or Submit Save My Work Save the timesheet and to come back and finish later Edit Make changes to a timesheet Submit Submit to your Employer of Record Consumer for approval 16 Public PCG Partnerships Supporting Choice Managing Costs PC gt Public 1 Partnerships
15. Supporting Choice Managing Costs Virginia Department of Medical Assistance Services DMAS D 8 raa IF YOU REQUIRES Ah NG THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 our timesheet has been saved SFPROV TRAINING Provider ID E017404 Timesheet for SF TRAINING Consumer ID C004306 Consumer Phone No 804 665 2115 Service 5150 Respite Services Timesheet ID VA0003212864 Status SAVED Date Time in 12 19 2013 Thursday 12 20 2013 Friday 12 21 2013 Saturday 12 22 2013 Sunday 9 00 AM 10 00 AM 12 23 2013 Monday 9 00 AM 10 00 AM If you save your work you can come back and finish your timesheet at a later date e timesheet will save your unfinished timesheet If you need to make any corrections to your timesheet select the Edit button and make the necessary changes You will be able to search for the timesheet using the status SAVED Consumer Search My Profile Submit Feedback Create Timesheet Search Timesheet Timesheet List IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 Timesheet Status lt lt OO the timesheet submission process the default has been changed to Unpaid Timesheet Start Date Range lany a any Timesheet Submitted Date Range H any Check Number 17 p a Public Partnerships Supporting Choice Managing Costs You can then select View Edit or Delete the timesh
16. TRAINING SF increment and Consumer Id C004306 Authorized Units 60 00 Hours Date Range 6 29 2012 7 11 2012 144146 0 Last Modified 7 21 2012 1 05 00 AM __ Invoiced Units 0 00 Hours Date Created Paid Units 237 00 Hours 25 Created By Remaining Units 177 00 Hours po Notes Referral Status Approved S All Rights Reserved Privacy Policy System Requirements Terms of Use Authorization Detail Overview of Authorization I D and Service Date Information Authorization Line Entries This section allows you to view the summary amount paid against your budget from submitted PAID timesheets bi weekly Revision History Reflects the date of the transmittal to PPL Select the Authorization Line Entries tab 33 Public PCG Partnerships Supporting Choice Managing Costs Authorization Start Date End Date Quantity Paid Units Paid Dollars 7 12 2012 7 25 2012 68 00 62 00 605 74 7 26 2012 8 8 2012 68 00 63 50 620 40 8 9 2012 8 22 2012 68 00 46 00 449 42 2012 8 23 2012 8 23 2012 68 00 0 00 0 00 2012 2012 2012 7 11 2012 Hour 240 00 Start and End Dates are the beginning and end dates for a specific pay period Quantity is the number of hours the consumer has been authorized to pay attendant timesheets on a bi weekly basis Paid Units is the number of hours that were paid against the number of hours authorized for the bi w
17. Update Timesheet Pend Messa se 51 PCG Public __ Partnerships Supporting Choice Managing Costs Most Frequent Pend Messages Duplicate entry on IN PROCESS Timesheet No Duplicate entry on PAID Timesheet No Consumer is not authorized for this service Worked Units exceeds the Units remaining on the Authorization Employee Hours cannot exceed 24 in a single day Over 480 Hours of Respite used for fiscal Year Medicaid not eligible Actual EIN not received or not in NN NNNNNNN Another timesheet has been submitted for the same hours The timesheet will pay all hours that do not have a duplicate entry Employer of Record should have Attendant correct and resubmit Another timesheet has been submitted and already PAID for the same dates time Timesheet will be denied for these hours Authorization for this service has not been received by PPL from the authorizing agency to PPL Authorizations are electronically transmitted The budgeted units have been exceeded This will occur if the Attendant submits for units over the approved amount The timesheet will pay out any units up to the units approved Attendant cannot submit for more than 24 hours ina single day Consumer has used 480 respite hours for the fiscal year authorization period July 1 through June 30 PPL has not received the consumer Medicaid and or Waiver eligibility information for the consume
18. b Portal Don t forget to bookmark this page Resources i Web Portal Instructions Enter Your Login Information Virginia DMAS Attendant Application e Virginia Department of Medical Assistance Service Website e PPL Customer Service Contact Information PPL Website Consumer Appeals Process Complaint and Grievance Process Forgot your username or password e Transition Services Contact Information Remember usemame Login 4 Public PCG Partnerships Supporting Choice Managing Costs 3 Select Sign Up to get set up with E Timesheet Web Portal Instructions Enter Your Login Information Virginia DMAS Attendant Application Virginia Department of Medical Assistance Service Website Username PPL Customer Service Contact Information PPL Website Password Consumer Appeals Process Complaint and Grievance Process Transition Services Contact Information Forgot your username or password E Remember usemame Kololia 4 New User Registration Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Contact Us New User Registration Step 1 Select your State Program and Role State Cancel Nebraska a Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia x Foun
19. ce of Responsibility Form pdf 06 VA_DMAS Attendant Application Request Form 20140423 pdf Create PDF To Print an individual form click in the box next to the form and then Click on the Create PDF Form Instructions 01 Portal Cover Sheet pdf 02 VA_DMAS Employer Welcome Letter 20140423 pdf 03 VA_DMAS EOR Table of Contents 20140423 pdf 04 VA_DMAS Employer Info Confirm Instructions 20140423 pdf 05 VA_DMAS Form SS 4 Instructions 20140423 pdf 06 VA_DMAS Form 2678 Instructions 20140423 pdf 07 VA_DMAS Form 8821 Instructions 20140423 pdf 08 VA_DMAS Signature Authority Release 20140423 pdf J Forms to Sign 01 VA_DMAS Enrollment Forms Check List pdf 02 V MAS_ Employer Confirmation of 0140423 pdf A 03 Form SS 4 pdf 04 Form 2678 pdf 05 Form 8821 pdf 06 Form 8821 Part 2 pd ure Authority and Create PDF Welcome Trish Faba External 1D C004306 4 P j Print Forms Print Forms U To Keep 01 VA_DMAS EOR Welcome Packet Cover 20140423 pdf 02 VA_DMAS EOR Table of Contents 20140423 pdf 03 Automation Benefits Fact Sheet_2014_EOR pdf 04 VA_DMAS Frequently Asked Questions 20140423 pdf 05 VA_DMAS Timesheet Instructions 20140423 pdf 06 VA DMAS Contact Info Changes Instructions 20140423 pdf 07 VA_DMAS Consumer Contact Info Change Form pdf 08 VA_DMAS EOR Contact Info Change Form pdf Create PDF box at the botto
20. cked Back Checkbox for SS 4 Signature is not checked Checkbox for IRS 2848 Present is not checked Checkbox for IRS 2848 Signature is not checked Checkbox for IRS 2848 Dated is not checked Checkbox for IRS 8821 Present is not checked Checkbox for IRS 8821 Dated is not checked Checkbox for IRS 8821 Signature is not checked Missing required selection for Federal Filing Status Print Attendant Forms The Consumer EOR can print the hiring packet or needed Attendant Forms from the Associated Providers list 1 Go to My Profile from the green header bar 2 Scroll to the bottom of the Profile and Select Associated Providers 3 Click on Print Forms to view and print Attendant hiring forms 49 Public PCG Partnerships Supporting Choice Managing Costs Associate Providers to Consumer C004306 SF TRAINING Provider ID Provider Name Phone Number Provider Type Print Forms Consumer Provider Checklist phecklist Complete Yes E01 404 SFPROV TRAINING 804 665 2115 IP Print Forms Checklist Complete and Good To Go assume a work date of 05 12 2015 A ONferertn show Disassociated Providers T date may yield a different result View the Disassociated Attendants by clicking on the Show Disassociated Providers link Associate Providers to Consumer C004306 SF TRAINING Provider ID Provider Name Phone Number Provider Type Print Forms Consumer Provider Checklist E017404 SFPROV
21. ded in 1999 Public Partnerships LLC PPL is an industry leader in financial management services for consumer P C t UNE direction serving consumers throughout the US PPL is committed to helping people exercise choice and control for their J Partnerships long term services and supporis Supporting Choice Managing Costs Copyright 2015 Public Partnerships LLC All Rights Reserved Privacy Policy Terms of Use Contact Us ra You will be asked to select a State VIRGINIA 5 Public PCG Partnerships Supporting Choice Managing Costs 5 Once you select VIRGINIA as STATE Program and Role boxes will appear 6 Select the Program VA DMAS FI Program Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Contact Us New User Registration Step 1 Select your State Program and Role State Virginia i Program Select E v Role Y Cancel Next SC 7 Public Founded in 1999 Public Partnerships LLC PPL is an industry leader in financial management Services for consumer PCG s direction serving consumers throughout the US PPL is committed to helping people exercise choice and control for their Partnerships long term services and supports Supporting Choice Managing Costs Copyright 2015 Public Partnerships LLC All Rights Reserved Privacy Poli cy Terms of Use Contact Us 7 Select your Role CONSUMER I
22. e Le a erreme ma aars Hent me mH eee ee y omea i asa nn ee aa X oo sat os oem ee te eee Foe Pees panana Ae a oe hee FP s 7 ta nomen co I yy aaas aenn eee M ore eo W gt s tee D oaa When you click on the check number your computer may give a pop up box asking if you want to Open or Save Click open to view the check stub or save to save it to your local computer Instead of a pop up box your computer may show you a download of the PDF document named Check Stub Ravie View VADOU oa 14 DRBRNTe Menard 2 Deeb SF TRAINING SrPROYW TRAINING FAR aiii Review View WADO D2 IMA 13 A PER P Dras RD SF TRAINING SFFROW TRAINING FAD 1035500 haviem View VADI di ieTt2N 0712012 1872012 SF TRAINING SFFROY TRAINING FAD EEEL 5409 09 IETEN SF TRAINING SFFROV TRAINING DENIED VAQOO2 Md 112501 afa Publi ounded in 1999 Public Parinerships LLC PPL is an industry leader in inancial management services for consumer PC MC r direcion serving consumers Hrroughout fhe US PPL is commited io helping people exercise choice and control for their shod Partnership long lem services and supports Supporting Choice Managing Costs Copyright 2015 Public Parmierships LLC All Rights Reserved Privacy Poly Terms of Use Contact Us S CheckStub 1047417 pdt Click on the PDF document to open Once the pay stub opens right click on the document to open or save the document
23. e information have provided on this form is true and accurate 3 You will receive the following confirmation message IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 our timesheet has been created and has been submitted to the consumer for approval Hours Summary Your consumer will now have the option of approving or rejecting your timesheet once it has been submitted Search and View Timesheets Submit Feedback earch Ti Timesheet List IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 Timesheet Status Unpaid To improve the timesheet submission process the default has been changed to Unpaid Timesheet Start Date Range any E any ia Timesheet Submitted Date Range any H any a fa 19 Public PC G Partnerships A717 eT A e Manta Supporting Choice Managing Costs A J q Select Search Timesheet to view all timesheets submitted under your consumer There are several options on this screen to search for timesheets Timesheet status is the first step to begin your search If you do not know the status of the timesheet then selecting All will show all timesheets regardless of status In addition to timesheet status you may also select to search by the date range by start and end date of a specific period Consumer Search My Profile Submit Feedback
24. eekly pay period This only includes hours that have been paid out Any pending timesheets would not be reflected in this amount Paid Dollar is the dollar amount of the paid units 34 Public P 3 G Partnerships Authorization Detail Authorization Detail Authorization LingEntries Revision History Start Date End Date Rate Quantity Stat SS Modified Date 7 12 2012 8 23 2012 1 00 272 00 Approved 8 31 2012 1 19 00 AM You can also view dates that PPL received the authorization or changes to your budget authorization by looking at the Revision History as seen above PPL does not have any knowledge on the reasons why your budget authorization would change PPL is the recipient only and this information is provided to us via file downloads Steps for Respite Authorization Utilization Review 1 Identify Authorization Lines To review the amount of Respite services that have been used for your Fiscal Year July 1 through June 30 you will need to review ALL respite authorization lines that PPL has received for this period as seen in the screenshot below While most consumers will typically only have one line per fiscal year period in order to receive accurate information you will want to make sure you view ALL for the period This example highlights three authorization lines that fall in the Fiscal Year period from July 1 2014 through June 30 2015 35 Public iM G Partnerships Supporting Choice Managing C
25. eet Consumer Search My Profile Submit Feedback Create Timesheet Search Timesheet Timesheet List IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 Timesheet Status Saved Y To improve the timesheet submission process the default has been changed to Unpaid Timesheet Start Date Range any H any f Timesheet Submitted Date Range B any f Check Number Search Unpaid Timesheets 2 results Action Timesheet ID Provider Name Timesheet Start Date Timesheet End Date Submitted Date Submitted By Consumer Name Check Number Check Amount net Timesheet Amount pay before tax 04 02 2014 tfaba SF TRAINING SAVED View Edt Delete VA0003212864 SPRROV TRAINING 12 19 2013 01 01 2014 VAUUUZ044112 01 SFPROV TRAINING 06 28 2012 07 11 2012 08 17 2012 SF TRAINING DENIED Submitting your timesheet Once you have completed your timesheet you must submit your timesheet to your consumer EOR for approval 1 Once you select the Check box certifying the information is true and accurate the Submit tab will highlight ame person whose name and signature PPL has on file hereby certify under penalty of perjury that the information have provided on this form is true and accurate 2 Click on Submit 18 Public PCG Partnerships Supporting Choice Managing Costs meerde name and signature PPL has on fle hereby certify under penalty of perjury that th
26. ervices ate to that date ES 5 On the Time Period line enter one of the dates you worked to start the timesheet Service 5126 Attendant Care Services Enter the first date of the period you worked ime Period Begin Thursday End Wednesday Please click on the calendar to select the first date for which you wish o submit time The system will automatically show the entire pay period that corresponds to that date il 6 System will now show entire pay period that corresponds to this date 7 Complete the timesheet by entering Time In and Time Out for each date worked 13 OL te f at n Ae nol i S e 7 rit g O B Q7 Public P C G Pariiersiigs Time Period Begin Thursday 05 24 2012 Click on the calendar to select different dates 6 2 2012 Date Hours y Z 05 24 2012 Thursday Time In Time Out T T T There are more hours C 05 25 2012 Friday Time In Time Out T T T There are more hours C Paste 05 26 2012 Saturday Time In Time Out YL NEE C EN LEAR i E 05 27 2012 Sunday Time In Time Out T T T There are more hours 05 28 2012 Monday Time In Time Out T T T There are more hours C Past 05 29 2012 Tuesday Time In Time Out There are more hours C Using the dates and times of hours worked the following fields would be completed by the provider attendant For the provider the timesheet is processed using the Time In field to mark the beginning of
27. f you are the Consumer or Employer of Record PROVIDER If you are the Attendant Once you select a role of Consumer or Attendant click Next 6 Public PCG Partnerships Supporting Choice Managing Costs Consumer EOR Registration Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Contact Us New User Registration Step 2 Enter Credentials Required fields Consumer ID Mailing zip code Last Name In the Consumer EOR role you will approve reject timesheets submitted by your Attendants Consumer EOR will need 1 Consumer ID Number If you were enrolled in the Consumer Directed Services Program BEFORE July 18 2011 you will use your 12 digit Medicaid ID provided by DMAS If you were enrolled AFTER July 18 2011 you will use the Consumer ID beginning with the letter C that PPL sent to you 2 Mailing Zip Code Zip Code where you receive mail This must match your records used to enroll you into the PPL Web Portal 3 Last Name the last name of the consumer Create your Username and Password Page 9 7 Public PCG Partnerships Supporting Choice Managing Costs Attendant Registration Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Contact Us New User Registration Step 2 Enter Credentials Required fields Provder ID Mailing zip code
28. file Timesheets Submit Feedback Create Timesheet Search Timesheet Timesheet List IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 11 Public PCG Partnerships Supporting Choice Managing Costs 3 Select the Consumer from the list and click on Create Timesheet To create a timesheet first select your consumer Advanced Search Consumer PPL Consumer ID City Birth Date Good To Serve Employer of Record Name TRAINING SF C004306 GLEN ALLEN 11 18 1958 Yes SF TRAINING Create Timesheet 4 Select the service from the drop down Service list VIRGINIA S MEDICAID PROGRAM 1 Partnerships Supporting Choice Managing Costs INNOVATION QUALITY VALUE Submit Timesheet IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 SFPROV TRAINING Timesheet for SF TRAINING Provider ID E017404 Consumer ID C004306 Consumer Phopeste 8Tt bb5 PUBLIC Ye Copyright 2014 Public Partnerships LLC All Rights Reserved Privacy Policy System Requirements Terms of Use PARTNERSHIPS tc 12 Public iM G Partnerships Supporting Choice Managing Costs WW sUitiGt HYNG OW VVS SILU I Service 5126 Attendant Care Services Y Select the Service from 5126 Attendant Care Services e Drop Down Menu 5136 Companion Services sday Please click on the d 5150 Respite S
29. ice select the magnifying glass icon when highlighted says quick detail information regarding your DMAS approved authorized service care hours will open in the Authorization Detail box Attendant Care Services Utilization Begin by clicking on the magnifying glass Budget Detail For SF TRAINING ID C004306 ea a MeL OOED EGA e ECA Authorized Paid T Sarl Status Actions Type Units erent Autnonzea Units Ta Units Los 0 4 88900009002 6 29 2012 8 23 2012 Hour 3 840 00 15 minutes re 00 9 00 0 00 951 00 N A NIA N A N A Timesheet 6 E j units ours hours hours Partially D 5 1188900009002 6 29 2012 6 29 2014 Hour 5 760 00 15 minutes 1 440 00 0 00 0 00 1 440 00 N A N A N A N A Inactive ed iiif units hours hours hours 1188900009001 6 29 2012 7 11 2012 Hour 240 00 15 minutes 60 00 56 50 0 00 Timesheet ea units hours hours hours Partially Submitted You will receive the below Authorization Detail box There are three tabs to view information Authorization Detail Authorization Line Entries and Revision History 32 Public PCG Partnerships Supporting Choice Managing Costs Aut Authorization Detail X Authorization Detail Authorization Line Entries Revision History i E 3 840 0 A Authorization Id 1188900009001 Unit Type Hours 5 760 0 Service Type 5126 Attendant Care Unit Increment 15 minutes A ETT Services Total Units in unit aai a Consumer Name
30. ices S 1188900009002 6 29 2012 8 23 2012 Hour 3 840 00 units 15 minutes 960 00 hours 9 00 hours 0 00 hours 951 00 Timeshe ge Submitted 5150 Respite Services 1188900009002 6 29 2012 6 29 2014 Hour 5 760 00 units 15 minutes 1 440 00 hours 0 00 hours 0 00 hours 1 440 00 NA NIA NIA NA Inactive 5126 Attendant Care Services 1188900009001 6 29 2012 7 11 2012 Hour 240 00 units 15 minutes 60 00 hours 56 50 hours 0 00 hours 3 50 NA NA NA NIA Timesheet Partially Vv Q Submitted 5126 Attendant Care Services 1188900009003 7 12 2012 8 23 2012 Hour 1 088 00 units 15 minutes 272 00 hours 171 50 0 00 hours 100 50 NA NIA NWA NIA Timesheet Partially Vv 4 hours Submitted 5126 Attendant Care Services 1188900009003 7 12 2012 7 12 2014 Hour 14 416 00 units 15 minutes 3 604 00 hours 0 00 hours 0 00 hours 3 604 00 NIA NIA NIA NIA Inactive Vv A 1 5 Show 10 7 records at a time Status N A N A Timesheet Partia Submitted NIA N A Timesheet Partially Submitted N A N A Timesheet Partially Submitted 38 Public PCG Partnerships Supporting Choice Managing Costs Selecting the book icon under the column Action the below screen will appear for Authorization Detail Budget Summary Consumer Forms My Profile Timesheet List Submit Feedback Authorization Detail r Authorization Details Authorization Id 1168900009001 Unit Type
31. ion 8 00am 8 00pm EST Mon Fri and 9 00am 1 00pm EST Saturday Phone Customer Service 1 966 259 3009 Fax 1 866 709 3319 a Email PPLVA pequs com Print Forms Feature This feature will allow the Consumer EOR to print paper Timesheets Attendant Hire Packets and Instructions or EOR Forms and Instructions To print forms start by going to My Profile from the green header bar Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Budget Summary Consumer Fr ms My Profile Timeshee ist Submit Feedback Consumer Profile At the top of the Consumer Profile Screen you will see Print Forms in the Consumer Enrollment Details box 45 Public PCG Partnerships Supporting Choice Managing Costs Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Budget Summary Consumer Forms Consumer Profile Consumer Enrollment Details ExternalReferenceID Current Plan VA DMAS Show Enrollment History My Profile Timesheet List Current Program cD 07 18 2012 Enrollment Start Date Submit Feedback Enrollment End Date Click on Print Forms you will see the following screen All Documents Create PDF After Employment Forms 01 Virginia Timesheet pdf 02 VA_DMAS Consumer Contact Info Change Form pdf 03 VA_DMAS EOR Contact Info Change Form pdf 04 VA_DMAS Notice of Discontinued Employment Form pdf 05 VA_DMAS Acceptan
32. ion Detail po a 3 Authorization Detail Authorization Line Entries Revision History Start Date End Date Quantity Pajd tnt l Fiscal Year period from 7 1 14 through 6 30 15 1 25 2015 I 1 25 2015 6 30 2015 wo o ol I SHAPE ee Authorized otal Good eee Type Units ga Fired alae Units To Pay Units A utho rizatio n Detail 3 3 2015 3 Authorization Detail Authorization Line Entries Revision History Start Date End Date Quantity Paid Units Paid Dollars Fiscal Year period from 2 3 2015 3 24 1 25 2014 6 30 2014 480 00 40 00 390 80 7 1 14 through 6 30 15 7A2014 1 24 2015 C01 230 00 224 Three authorization lines fall into this consumers fiscal year period View ALL and add together The units paid out in this example are 230 0 59 5 289 5 respite hours paid out for the Fiscal Year with a remaining 190 5 units of respite services available for use by 6 30 15 37 Public PCG Partnerships Supporting Choice Managing Costs Viewing Printing Your Quarterly Service Budget Report From the Authorizations Screen click on the book icon on the right Budget Summary Consumer Forms My Profile Timesheet List Submit Feedback Budget Detail For SF TRAINING ID C004306 Service Authorization ID Start Date End Date Authorized In Increments Total Authorized Paid Units Good To Pay Status ia Units Of Units Units are 5150 Respite Serv
33. ithin regular waiting time from date of payment You have the option of viewing your paystub using this status All If you are not sure of the status of timesheets selecting this status will bring up a list of a timesheets for the provider in any of the above Budget Summary Consumer Forms My Profile Timesheet List Submit Feedback Timesheet List There were no timesheets that matched your search criteria IF YOU REQUIRE ASSISTANCE USB SHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 Timesheet Status e timesheet approval process the default has been changed to Submitted Timesheet Start Date Range Timesheet Submitted Date Range Check Number Search with Provider Name Search Select Submitted status from the drop down key All timesheets that are currently awaiting EOR approval will appear Select View to open the Attendant timesheet to either approve or reject the hours submitted 28 Public PCG Partnerships porting Choice Managing Costs Your search returned 1 result Action Timesheet ID Timesheet Timesheet End Submitted Date VA0001703989 neue tial 3 Once you have viewed the timesheet and checked the hours submitted by the Attendant you can approve or reject Your search returned 1 result Action Timesheet ID Timesheet Limesnes Eng Submitted Date j VA0001703989 12 29 11 01 11 12 01 17 2012 Approve Reject gt Approved Statu
34. izations Budget On the Budget Detail page Consumers EOR s can view existing authorizations what timesheets have been paid against them and the current balance for each service care type Attendant Respite and Companion To review authorization and usage 1 Select Budget Summary from the green header bar at the top ca Budget Summary Ce sumer Forms My Profile Timesheet List Submit Feedback Budget Detail For SF TRAINING ID C004306 lt a i Service Authorization ID StartDate End Date Unit Authorized In Type Units Increments Authorized Of i Paid Good Remaining Units To Pay Units Units 71422012 8123 2012 Hour 1 088 00 18 minutes 972 00 17180 oo 10080 1188900009003 5126 You will notice there may be multiple authorization lines with start and end dates 31 Public PCG Partnerships Supporting Choice Managing Costs Review and find the most current budget line with a status of Active or Timesheet Partially Submitted Budget Detail For SF TRAINING ID C004306 Units Pay Units 5150 1188900009002 6 29 2012 3 840 00 15 minutes 960 00 9 00 0 00 951 00 C z Respite units hours hours hours C Services Submitted Service Ai thorization ID Start Date End Date Unit F In Total Paid Good Remaining Status Actions f ae Authorized Units To Units i To view your budget detail under the column Serv
35. m of that section as seen above Click on the Top of the Section to print ALL forms in that section as seen below 46 p Public _ Partnerships Supporting Choice Managing Costs All Documents Create PDF After Employment Forms Form Instructions Forms to Sign 01 Virginia Timesheet pdf 01 Portal Cover Sheet pdf I 01 VA_DMAS Enrollment Forms Check z a a List pdf 02 VA_DMAS Consumer Contact Info 02 VA_DMAS Employer Welcome Letter ii Change Form pdf 20140423 pdf m 02 VA_DMAS_ Employer Confirmation of eae x a Ep mgp y n en Info 20140423 pdf 03 VA_DMAS EOR Contact Info Change 03 VA_DMAS EOR Table of Contents p Form pdf 20140423 pdf m 03 Form SS 4 pdf 04 VA_DMAS Notice of Discontinued 04 VA_DMAS Employer Info Confirm 7 04 Form 2678 pdf Employment Form pdf Instructions 20140423 pdf pw ais p ig z 05 Form 8821 pdf 05 VA_DMAS Acceptance of 05 VA_DMAS Form SS 4 Instructions zis z jaar D AA F 06 Form 8821 Part 2 pdf Responsibility Form pdf 20140423 pdf p m 7 07 VA_DMAS Signature Authority and 06 VA_DMAS Attendant Application 06 VA_DMAS Form 2678 Instructions eo as Request Form 20140423 pdf 20140423 pdf 07 VA DMAS Form 8821 Instructions Create PDF Create PDF 0 _ Dh orm 8821 Instruction 20140423 pdf 08 VA_DMAS Signature Authority Release 20140423 pdf k Create PDF az Reviewing Associated Attendants Information on the Consumer s active and inactive Attendants can be viewed in portal
36. mers and Employer of Record Self Service Features Employer E Timesheet Review and Approval Once the Attendant has submitted a timesheet via e timesheet you will be able to view the Submitted timesheets using the Timesheet List option on the green header bar as see below Timesheet List There were no timesheets that matched your search criteria IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTR M PLEASE CALL 1 866 259 3009 OPTION 3 Ti t Stat Submitted o improve the timesheet approval process the default has been changed to Submitted Timesheet Start Date Range any 5 any E Timesheet Submitted Date Range any Sa by ES Check Number Search Timesheet Status gt Submitted The provider has submitted the timesheet It is awaiting consumer EOR approval gt Approved The timesheet has been approved by the EOR Consumer gt Rejected The timesheet has been rejected by the EOR Consumer 27 1 2 Public PCG Partnerships Supporting Choice Managing Costs In Progress PPL is processing the timesheet for payment Status should change to Paid on the next payroll date Pending timesheet is currently unable to be paid due to a pending issue Select VIEW to open the timesheet and review the reasons for pending Denied timesheet has not passed program rules Good To Pay The timesheet has been approved and is ready to pay Paid timesheet has been paid Expect payment w
37. ndant Care Services 07 10 12 5 50 3 36 9 77 53 74 1040307 0824 12 VA0002044112 SFPROV TRAINING 5126 Attendant Care Services 07 11 12 5 00 3 86 9 77 48 85 1040307 08 24 12 ory Show Revision Printing your Quarterly Service Report 1 Select the Quarterly Service From and To Dates and Click on Filter 2 Once you have filtered the dates for your report click on Render as PDF 3 The PDF document will load and you will be able to Open Save or Print your Quarterly Service Report If you are done reviewing your budget detail you can select the Back button on the budget detail screen This will bring you back to the general Consumer Search Screen 42 Public PCG Partnerships Supporting Choice Managing Costs Turn On Off Quarterly Service Report PPL mails a utilization report to the EOR each quarter If you would like to stop receiving this report by mail and only view this information in portal you can turn off the mailed report 1 Select My Profile from the green header bar Welcome Trish Faba External 1D C004306 Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Budget Summary Consumer Forms My Profile T nesheet List Submit Feedback Consumer Profile Consumer Enrollment Details ExternalReferencelD Current Plan Current Program Enrollment Start Date Enrollment End Date Print Forms VA DMAS cD 07 18 2012 Show Enrollment History Print Forms
38. od to Go Place your cursor over the word No to view list of items that are still needed or click on Checklist tab From the Checklist tab all items that are still needed will highlight in red on the right side of the checklist screen Associate Providers to Consumer C004306 SF TRAINING Provider ID Provider Name Phone Number Provider Type Print Forms Consume Provider ChecklAt E017404 SFPROV TRAINING 804 665 2115 IP Print Forms Checkii Checklist Complete and Good To Go assume a work date of 03 12 2015 A different work date may yield a different result Show Disassociated Providers Complete Yes Back 48 Public PCG Partnerships Supporting Choice Managing Costs Hover your curser over the word No and it will highlight the list of items that have not been processed for the Attendant Associate Providers to Consumer C006 6 Kristi Test Provider ID Provider Name Phone Number Provider Type Print Forms Consumer Provider Ch gklist Good To Go E011607 QA TestProviderQA01 9876543210 IP PrintForms Checklist Complete No N Missing required date for Date of Birth r Actual EIN not received or not in NN NNNNNNN format Checklist Complete and Good To Go assume a work date of 04 23 2015 A different work date may yield a different result E E E ee E Show Disassociated Providers Checkbox for SS 4 County Box 6 Completed is not checked Checkbox for SS 4 Dated is not che
39. osts 39150 Respite h i n ri a 3 1 2017 Hour 3 3 2015 a ae 5176 332015 3 1 2016 Attendant Care Services Review Authorization Q 55126 3 3 9015 3015 Detail on each line and Attendant ADD PAID hours Care Services ht together 55150 1 25 2015 3 2 2015 di a 5126 2132014 2 2 2015 Hour Attendant Care Se Vices wW2014 1 24 2015 30790 20 2014 1 24 2015 Hour Respite a Services 2 Open the Authorization Detail Click the magnifying glass feature for each respite line you see within the fiscal year to see units that have been paid 3 Review the Authorization Line Entries Go to the center box for Authorization Line Entries for each respite authorization line and review the total paid units as seen below 4 Add Total Paid Units Review total paid units for each line and add together 36 Public PCG Partnerships Supporting Choice Managing Costs 4 3 2015 3JA2017 Hour 5 760 00 15 minutes 1440 00 g 0 00 1380 Sol NA MA units hours ol hours Authorization Detail 3 3 2015 E Authorization Detail Authorization Line Entries Revision History Start Date End Date Quantity Paid Units Paid Dollars 2 3 2015 32 Fiscal Year period from 7 1 14 3372015 6 30 2015 4s0 q FATES a through 6 30 15 71 2015 6 30 2016 480 00 112512015 321 742016 34017 48000 Authorizat
40. r EIN has not been established The Employer of Record has not been established until the EIN has been received 52 Public P D G Partnerships Frequently Asked Questions forgot my username or password now what If you forgot your username click on the link and re register You will have to follow registration steps and will not be able to use your old username To change your password click on the Forgot Username or Password link on the home page Enter your username and Click Next Enter your new password and Click Next You will be able to login using your newly created password get an error message saying my information cannot be found what do I do The most likely reason is that PPL Portal has your zip code or name on file differently than the way you may have entered it Because of the way we receive the initial information about you sometimes we will have a 9 digit zip code in the system and sometimes only 5 digits If you have experienced a recent name change and did not make PPL aware the same problem can occur The fastest way to figure out why you can t register is to call PPL Customer Service 1 866 259 3009 Alternatively you can email pplva pcgus com Why do we ask for your email address We use your email address to communicate with you regarding updates to the status of your timesheets We will never give away your email address to any third parties 53 Public PCG Partnerships
41. r Security Questions and enter your answers e You will be asked to select 3 security questions and answers to them These will be used if you forget your password and have to reset in the future Once you complete the questions select Submit to complete your registration 9 Public PCG Partnerships Supporting Choice Managing Costs gt Public POG Partnerships Supporting Choice Managing Costs New User Registration User Creation Completed Online user registration has been completed Your account has been created successfully If you have provided us with an email address your login information will be sent to that email address shortly CONGRATULATIONS YOU ARE NOW A REGISTERED PPL WEB PORTAL USER 10 Public PCG Partnerships Supporting Choice Managing Costs Attendant Provider Role Self Service Features Creating Submitting a Timesheet 1 Select Timesheets from the green header bar Welcome Trish Faba Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Consumer Search My Profile Timesheets Submit Feedback Create Timesheet Search Timesheet Timesheet List IF YOU REQUIRE ASSISTANCE USING THE ELECTRONIC TIMESHEET ENTRY SYSTEM PLEASE CALL 1 866 259 3009 OPTION 3 2 Select Create Timesheet on the top Welcome Trish Faba Virginia Department of Medical Assistance Services DMAS Virginia s Medicaid Programs Conun Oca My Pro
42. s Once you select hereby certify and Approve the timesheet will be forwarded to PPL payroll for processing and payment based on the Payroll Schedule A or B You will know that the timesheet has been submitted to payroll by viewing the status The timesheet will now have an In Process status to let you know that it has been submitted to payroll for processing 29 Public PC G _ Partnerships Ll 4i A ly Rejected Status Once you select hereby certify and Reject the timesheet will not be forwarded to PPL payroll for processing and payment Select one of the reasons for your rejection The provider attendant will have to login to e timesheet and make the necessary corrections to the timesheet using either the edit or delete function and then submit to the EOR If the attendant deletes the timesheet a new timesheet will need to be created The consumer will have the option to View Approve Reject the new edited timesheet and submit to payroll for processing r Reject Rejection Reasons Choose up to 2 Hours worked are inaccurate Days worked are inaccurate Incorrect service code Additional Rejection Note a Iv hereby certify that am the same person whose name and signature PP provided on this form is true and accurate Reject Timesheet for PETER QUINN Timesheet ID v 30 Public lM G Partnerships Supporting Choice Managing Costs Review Consumer Author
43. their shift and the Time Out field for the end of shift If the provider has worked and had a break during the day the provider would select There are more hours and a new line would be created You can use the lt tab gt button or your mouse to move between the fields Please make sure that the hours you submit will not overlap with another provider attendant If this happens your timesheet will need to be corrected before your consumer can approve and submit to payroll for processing 14 Public PCG Partnerships Supporting Choice Managing Costs Time Period Begin Thursday 12 19 2013 Click on the calendar to select different dates 1 1 2014 ga Date Hours 12 19 2013 Thursday Time In Time Out T T T There are more gurs Copy Paste 12202013 Friday Time In Time Out There are more hours Copy Paste 12 21 2013 Saturday Time In Time Out T T T Y There are more hours Copy Paste 12 22 2013 Sunday Time In Time Out BAM T F 12 PM T There are more hours Copy 13232013 Monday Time In Time Out BAM T F i2PM T There are more hours Copy 2 24 7013 Tuesday Time In Time Gut BAM T iPM T Y There are more hours Copy 12 25 2013 Wednesday Time In Time Out T k T There are more hours Copy Copy and Paste Function If the provider will work the same hours each day during the pay period the COPY and PA
44. ts Viewing Timesheets 1 First look for the pay period Start and End dates of the pay period you want to view 2 Review the Status column to see the current status of the timesheet Action Timesheet ID Provide Name TimesheetStart TimesheetEnd Sypmi Submitted By Consumer Name Status Date Date View VA0000843765 Kristi Test 010 04 28 2010 05 02 2010 Pete Consumer PAID Check Number 3 Select the View button located in the Action Column to see the printable version of the timesheet The dates and hours worked for that pay period will be displayed Timesheet Status Timesheet Start Date Range Timesheet Submitted Date Range Check Number Search All Timesheets 7 results Timesheet ID Provider Name Timesheet Start Date Timesheet End Date Submitted Date Submitted By Consumer Name VA0003212864 SFPROV TRAININ 12 19 2013 01 01 2014 04 02 2014 tfaba SF TRAINING VA0002069261 SFPROV TRAIN 08 09 2012 08 22 2012 08 31 2012 SF TRAINING VA0002069262 SFPROV TRAININ 08 09 2012 08 22 2012 08 31 2012 SF TRAINING VA0002044114 SFPROV TRAININ 07 26 2012 08 08 2012 08 17 2012 SF TRAINING VA0002044113 SFPROV TRAIN 07 12 2012 07 25 2012 08 17 2012 SF TRAINING VA0002044112 SFPROV TRAIN 06 28 2012 07 11 2012 08 17 2012 SF TRAININ VA0002044112 01 SFPROV TRAININ 06 28 2012 07 11 2012 08 17 2012 SF TRAININ DENIED 22 Public PCG Partnerships Supporting Choice Managing Costs

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