DSW Timesheets

Timesheet for reporting missed clock in/out

 
HCBS Medicaid Waiver program, require the use AuthentiCare to clock in and out unless you have written approval from your insurance provider stating you may use a time sheet.   We have provided a new time sheet for those rare instances when you are either unable to access AuthentiCare due to a technical difficulty OR if you missed a clock in our out for a shift.  **If this does occur, you must contact 3Rivers FMS staff immediately to notify us and then foillow up with a paper time sheet that you immediately send to 3Rivers.    

REMINDER - by supervising your Worker's check-in and out with AuthentiCare, you are providing your approval of their time worked and authorizing 3Rivers to pay your worker for that time provided it falls within the guidelines of your plan of care.  

Instructions, Codes and FAQs for the Phone Clock-in System

• Mandatory use of AuthentiCare Letter 
• Phone Clock-in Instructions - English
• Phone Clock in Instructions - Spanish
• Activity Codes - English  
• Activity Codes - Spanish
• Phone Clock-in FAQs

---

---

H.O.M.E. Program  - click on the link below to print paper timesheets (for programs that do not use phone clock in/out system only) 
1-15th Timesheet
16-31st Timesheet
​