Timesheets
Timesheet template, MCO and PCS
When to use. Use this timesheet when services are billed through a managed care organization or Primary Home Care / PCS, unless your coordinator gives you a different form.
Listed on the current forms page.
FORMS
Forms and training files.
These are the documents published on the current EAK site. You can fill many of them out online, or download the PDF. Use the notes below as a plain-English guide, and follow the instructions from your case coordinator if they differ.
10 of 10 files
Timesheets
Timesheet template, HHS Form 1745
When to use. Use this timesheet when your program uses HHS Form 1745, unless your coordinator gives you a different form.
Listed on the current forms page.
New hire
New Employee Packet Request
When to use. Use this when an employer is ready to request a packet for a new employee.
Listed on the current forms page.
EVV
Form 1722, Employer's Selection for Electronic Visit Verification
When to use. Use this to record the employer's selection for Electronic Visit Verification (EVV).
Listed on the current forms page.
Employer
Form 1720, Appointment of a Designated Representative
When to use. The current EAK forms page presents this file as the appointment of a designated representative. Confirm with a case coordinator that this is the correct form for your situation.
The current EAK forms page uses this label. Official Texas HHS titles for this form number can differ. Confirm with a case coordinator before you rely on the title.
Listed on the current forms page.
Training
Training for employees
When to use. Training material for employees, including Electronic Visit Verification topics.
Listed on the current training page.
Training
Training for Option 1 employers
When to use. Training material for Option 1 employers in Consumer Directed Services.
Listed on the current training page.
EVV
What is EVV?
When to use. A short overview of Electronic Visit Verification.
Listed on the current training page.
Payroll
Direct deposit form, 2023
When to use. Use this to set up or update direct deposit for pay. The file is dated 2023.
Published in the current site's document library.
Payroll
Direct deposit termination form, 2023
When to use. Use this to stop direct deposit. The file is dated 2023.
Published in the current site's document library.