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Payroll Schedule
Timesheet
Contact
Missed In/Out
Employee Application
Consumer Application
Address Change/Correction
Schedule Change Form
Out of State Visit Form
Login
Missed EVV
Consumer Name
Employee Name
MCO
Select an MCO
Ameri
UPMC
PA Health
Consumer Medicate ID
Employee Last 4 SSN
Consumer Date of Birth
Month
January
February
March
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November
December
Day
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Year
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1915
1914
Employee Date of Birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
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11
12
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14
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16
17
18
19
20
21
22
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25
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27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
Missed Date
Clock In Time
Clock Out Time
Hours Worked
Missed reason
Services Complete:
Meal Preparation
Housework/Chore
Managing Medications
Shopping
Transportation
Hygiene
Dressing Upper
Dressing Lower
Locomotion
Transfer
Toilet Use
Bed Mobility
Eating
Bladder Incontinence
Bowel Incontinence
Personal Care T1019
Bathing
Lotion/Ointment
Laundry
Reading/Writing
Supervision/Coaching/Cueing
Incontinence Care
In Person
Via Telephone
Hair Care-Comb
Grooming-Shave
Grooming-Nails
Dressing
Skin Care
Foot Care
Prepare-Breakfast
Prepare-Lunch
Prepare-Dinner
Assist with feeding
Assist with walking
Patient walks with assistive devices
Assist with home exercise program
Range of Motion Exercises
Take Temperature
Take Blood Pressure
Change bed linen
Light Housekeeping
Clean Bathroom
Clean Patient Care Equipment
Consumer Signature
Clear
Employee Signature
Clear
Submit
