Forms
PA Payment Schedule 2024
PA Payment Schedule 2023
Workers Compensation
CLE Documents
DCW Enrollment Documents
- DCW Direct Deposit Application (English)
Enrollment Process for DCWs and CLEs
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