Direct Service Workers

Become a Direct Service Worker

If you are a responsible, dependable individual, this is a rewarding job opportunity for you!

Through Kansas Home and Community Based Services, (HCBS), individuals employ and direct their services which are paid for though Medicaid funding. 3Rivers fiscal management department serves as a payroll agent for the HCBS Participant, paying worker wages, taxes unemployment etc. on behalf of the participant.

There are limitations set by the State of Kansas. Workers must be at least 18 years of age and or possess at minimum a G.E.D. or high school diploma. Workers must also be able to pass a background check.

Views the List of Exclusions (PDF).

The Participant your work for is your employer and sets your hours and wages based on a Plan of Care that directs the types and amounts of assistance they receive.

For most individuals in 3Rivers’ programs, Medicaid pays for these services. Other individuals pay for services themselves or may have private insurance that covers all or a portion of their worker’s expenses.

The individual develops a plan of care outlining the services and hours that a worker can provide. They contract with 3Rivers for fiscal management services. 3Rivers processes payroll documents for their workers and pays workers on the individual’s behalf. Then the individual or their insurance provider reimburses 3Rivers for this expense.

It is critical that you follow the Plan of Care provided for your employer. Hours worked beyond the plan of care or outside the scope of the Plan of Care can not be paid. The individual or their insurance provider develop a budget based on the plan of care.

Your wage is set by your employer based on their individual plan of care budget. For more information, please read the application and feel free to contact us anytime to learn more.

Consumer/employers must call 785-456-9915 and perform the following

  • Select Option #3
  • State worker name and ID
  • State Day/time of missed clock in/out
  • State Services provided

We can not accept a phone call from the worker, unless they are also the legal guardian.

A signed time sheet is required with both worker and consumer signatures.

A Separate timesheet is required for each pay period.

Remember: Use of the AuthentiCare Mobile App is now a requirement for Direct Service Worker’s (DSW) working for consumers enrolled in a Home and Community Based Services (HCBS) Medicaid Waiver.

AuthentiCare Mobile App

Direct service workers (DSW) must utilize the mobile AuthentiCare app to clock in and out, unless your consumer or employer has a landline. This requirement is effective as of June 2024. Training and assistance is available.

AuthentiCare Alert

There have been significant changes to the mobile app to meet Federal requirements for Medicaid Funded programs.
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If you have questions or issues with the Mobile App- contact AuthentiCare Support at 1-800-441-4667 or email AuthentiCare Support.

About Direct Service Workers

DSW duties may include:

  • Personal companionship
  • Personal care
  • Dressing
  • Feeding
  • Bathing
  • Cleaning
  • Meal preparation
  • Shopping
  • Transportation
  • Pet care
  • Other services as needed

3Rivers Fiscal Agent Services Provided on behalf of the Consumer/Employer include:

  • Bi-weekly payroll (Every other Friday)
  • 2024 pay date schedule
  • Direct deposit of wages
  • Withholding of all applicable taxes
  • Workers compensation and unemployment insurance

Benefits:

  • Competitive wages
  • Flexible work schedule
  • A rewarding experience knowing you’re making a difference in someone’s life

​Notes from Payroll Services

Most in home care programs are paid thru Federal programs with State and Federal Rules that you must comply with: 

  • Background checks are required. (3Rivers charges $20 to cover a portion of these fees)
  • Workers must be 18 years of age or older
  • Guardians are allowed to be paid caregivers under some circumstances.   Participants and Guardians should consult their MCO Care Coordinator
  • “Designated Representative” can be assigned. HCBS Participants may designate a representative to direct their care on their behalf.  This individual may not serve as the paid caregiver and must act in the best interest of the HCBS Participant in directing the DSW.   

AuthentiCare Alert

Print full application and return to FMS Department. Background checks are required for any potential or current employee.

Please note: A $20 application fee for background checks will be reinstated May 1 2023. All applications must include this $20 payment, (cash or check) before they will be processed.

Update Your Tax Withholding & Direct Deposit Information

Contact Us

If you have any questions, please email fms@threeriversinc.org

Phone: 785-456-8573
Fax: 785-456-9923
Text Line: 844-617-9689

Mailing address:

P.O. Box 408
Wamego, KS 66547