Forms
PA Payment Schedule 2025
PA Payment Schedule 2024
Workers Compensation
CLE Documents
DCW Enrollment Documents
- DCW Direct Deposit Application (English)
Enrollment Process for DCWs and CLEs
- New CLE Enrollment Process Outline
- New DCW Enrollment Process Outline
- New DCW Enrollment Application
- Maximum DCW Hourly Rate Sheet – New CLEs
- PA CHC Pay Rate Calculator
- PA CHC Pay Rate Calculator Instructions
- DCW Unique ID: DCW Self Registration Quick Reference Guide
- DCW Unique ID: FAQ
- DCW Enrollment Packet Sample
Common Law Employer Training
- Recruiting, Selecting, and Retaining Direct Service Workers to Provide Self-directed Home and Community-Based Services (HCBS) from Centers for Medicare & Medicaid Services. The online training can be accessed here.
Service Coordinator Documents
PA FMS Participant Advisory Group
Debit Card
- U.S. Bank Focus Card Enrollment Form (English) & (Spanish)
- Focus Card Overview Flyer (English) & (Spanish)
- U.S. Bank Employer Guidelines