CDC+ Forms and Information for Consumers, Consultants, and Employees
| Toll-free Customer Service Line |
1-866-761-7043 |
| Toll-free fax |
1-888-329-2731 |
| Program Administrator |
Liesl Ramos |
| Financial Services Administrator |
Alexandra Weimorts |
|
 |
Online Submission
Important:
Have you been issued a Username and Password for the New Secure Web-based Payroll System? If you select YES, below, you will be taken to the new Secure Web-based Payroll System. If you select NO, below, you will be taken to the system you have been using. You will continue to use the current system until you are issued a Username and Password for the new system.
YES NO
Secure Payroll System User Guide
For the Latest CDC+ Announcements, Information, and Updates
CDC + Announcements
News & Announcements
- Ms. Liesl Ramos began as the new CDC+ Program Administrator effective June 12, 2009. Ms. Ramos has a wealth of experience in the APD service system and has most recently moved to APD from the Department of Health in the Early Steps Program. Ms. Ramos will be a great addition to the CDC+ unit and will be leading the expansion of the CDC+ program this upcoming year. Contact information for Ms. Ramos is:
Liesl V. Ramos
Program Administrator
Consumer Directed Care Plus
Agency for Persons with Disabilities
4030 Esplanade Way, Suite 360R
Tallahassee, FL 32399-0950
Customer Service:1-866-761-7043
Local Phone Number:(850) 921-3785
Fax Number: 1-888-329-2731
CDC+ Website: http://apd.myflorida.com/cdcplus
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Online Submissions
CDC+ Timesheet & Invoice Entry System
This is where you are to enter your CDC+ timesheets, invoices, and reimbursement requests
- New Secure Web-based Payroll System
*** User Name and Password must be issued to you first. Otherwise, please use the link below.
-
CDC+ Timesheet & Invoice Entry System Menu
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Consumers
| Document |
Description |
|
CDC+ Consumer Notebook |
The Consumer Notebook provides critical program information for CDC+ participants and representatives. |
|
Consumer/Consultant Agreement |
The Consumer/Consultant Agreement is a written agreement between the
consumer and the consumer's consultant that describes the roles and
responsibilities of each. |
|
Representative Agreement |
The Representative Agreement is a written agreement between a consumer and
the consumer's representative that sets forth the CDC+ responsibilities of
the representative. |
|
Employer/Employee Agreement |
The Employer/Employee Agreement is a written agreement between the consumer
and his or her employee that sets forth the employee's responsibilities. |
|
NEW Consumer Information Update Form |
This form is to be used beginning 06/01/07. It is to be completed by the consultant to update information related to the consumer, consumer's representative, consumer's legal status, consumer's selection of a consultant, or consumer's CDC+ enrollment status. |
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Consultants
APD Consultant Guide & Forms
Consultant Guide
The Consultant Guide is currently under revision. The recently published Consumer Notebook will henceforth be the Core document of APD's CDC+ program. APD is developing a guide for consultants, a guide for area liaisons, and a guide for central office staff. Each guide will expand on the roles of the specific staff groups as they relate to the information contained in the Consumer Notebook. When the Consultant Guide is completed, it will be distributed to all Consultants and will be posted on this site.
CDC+ Consultant Forms
These forms are for the sole use of the consultant. They are provided to the
consultant during CDC+ New Consultant Training.
| Document |
Description |
|
Consumer-Consultant Agreement |
The Consumer/Consultant Agreement is a written agreement between the
consumer and the consumer's consultant that describes the roles and
responsibilities of each. |
|
Memorandum of Agreement |
The Memorandum of Agreement is a written agreement between the APD area
office and each consultant or consultant agency. The agreement sets forth
the responsibilities of the consultant or consultant agency for the
CDC+ Program. |
|
Memorandum of Agreement, Attachment A |
Attachment A of the Memorandum of Agreement describes the Quality
Management Plan of the CDC+ Operational Protocol. |
CDC+ Registration Form - Solo Practitioner
Instructions:
See Form
|
The Solo Practitioner CDC+ Registration Form is used to enroll a CDC+
consultant, and is to be completed by all trained consultants that are
solo practitioners. |
CDC+ Registration Form - Agency Affiliated
Instructions:
See Form
|
The Agency Affiliated CDC+ Registration Form is used to enroll a CDC+
consultant, and is to be completed by all trained consultants that are
employed by an agency. |
CDC+ Registration Form - Agency
Instructions:
See Form
|
The Agency CDC+ Registration Form is used to enroll a CDC+ consultant
agency, and is to be completed by all agencies that employs trained
consultants. |
CDC+ Registration Update Form
Instructions:
See Form
|
The CDC+ Registration Update Form is used to update enrollment information
for CDC+ consultants and consultant agencies. |
|
CDC+ Monthly Consumer Review Form |
The Monthly Consumer Review Form serves as official documentation for all
consultant contacts with the consumer and is placed in the consumer's
primary file. This form takes the place of the consultant's monthly
case notes. |
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Enrollment Forms
Enrollment Packets
Sample Completed Enrollment Forms
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Management Forms
| Document |
Description |
|
Corrective Action Plan |
The Corrective Action Form is initiated by the Area CDC+ Liaison and
completed by both the consultant and the consumer when corrective action
is necessary to assist the consumer in CDC+ program management. |
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Paperwork Transmittal
The table below lists CDC+ documents that are the responsibility of the consumer and where they are to be sent effective February 1, 2008, after they have been sent to the consumer's consultant.
| Document |
Completed By |
Submitted By Consumer / Representative (VIA Consultant) To |
Processed By |
| Consumer Information Update Form |
Consultant |
APD Area |
APD Central |
| CDC+ Purchasing Plan |
Consumer / Representative |
APD Area |
APD Central |
| Purchasing Plan Quick Update Form |
Consumer / Representative |
APD Area |
APD Central |
| Employee Background Screening Forms |
Employee and Consumer / Representative |
APD Area |
APD Area |
| Employee Packet (Employee Information Form, IRS Form W-4, DHS Form I-9) |
Consumer / Representative / Employee |
APD Area With the Purchasing Plan or Quick Update Form on which the employee first appears |
APD Central With the Purchasing Plan or Quick Update Form on which the employee first appears |
Vendor Packet
(Vendor Information Form) |
Consumer / Representative |
APD Area With the Purchasing Plan or Quick Update Form on which the vendor first appears |
APD Central With the Purchasing Plan or Quick Update Form on which the vendor first appears |
| Independent Contractor Packet (Vendor Information Form and IRS Form W-9) |
Consumer / Representative / Independent Contractor |
APD Area With the Purchasing Plan or Quick Update Form on which the independent contractor first appears |
APD Central With the Purchasing Plan or Quick Update Form on which the independent contractor first appears |
| Change of Name/Address for Employees / Independent Contractors |
Consumer / Representative / Employee / Independent Contractor |
APD Area |
APD Central |
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Purchasing Plan
APD Purchasing Plan & APD Forms for Paying Providers
| Document |
Description |
|
Timesheet
Vendor / Independent Contractor Request for Payment
Consumer / Representative Reimbursement Request |
Forms for Paying Providers Instructions
Instructions for payroll documents. |
|
Purchasing Plan - Version 2.0-F
Revised 05/08/2009
*Note:You must enable macros in order for the Purchasing Plan to work. |
This Purchasing Plan must be used by all CDC+ consumers effective March 1, 2008, when the Agency for Persons with Disabilities becomes the Fiscal Employer Agent.
The Purchasing Plan is a Microsoft Excel document designed to automatically calculate the details of a CDC+ participant’s monthly budget. The Agency will occasionally update this version to a newer version as enhancements are created.
Please always use the Purchasing Plan version that is on this website when you are updating your plan, as it will always be the most recent version.
Participants who do not have Microsoft Excel may provide their consultants with a written copy of the plan for their consultant to type into this Excel document, if the consultant agrees do so. Participants may always submit a hand-written Purchasing Plan. |
|
CDC+ Service Codes (PDF)
Revised 5/1/2008 |
The Service Code Chart describes all services available in the CDC+ program and their associated service code. Every service on a consumer's Purchasing Plan must be assigned an appropriate service code in order for the service to be paid. The Service Code Chart may updated periodically. Please be sure to always reference the most current version of the Service Codes Chart, which will be published on this site.
This Service Code Chart is effective 12/1/07 for use in Purchasing Plans effective 1/1/08. |
CDC+ Quick Update Form
March 1, 2008 |
|
Additional Materials for Household Employers
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Additional Information
Information not already covered in the ABOVE LINKS
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Archives
CDC+ Archives and Past Information
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Online Submission Tips
- Helpful Hints for Submitting Payroll Via the Web Stystem
We encourage using the web system for payroll submittal.
The instructions for web submittal are also included on this website.
- All hours for all service codes worked by an employee during each pay period should be entered into the same timesheet screen.
You should receive only one tracking number for each of your employees during each pay period. Completing more than one timesheet screen for an employee during a pay period creates a duplication error in the system and will delay the payment to your employee.
- Only use the provider ID number that has been assigned by the CDC+ program to your DHE employees, Agency/Vendors or Independent Contractors. Before pushing the submit button, please confirm the consumer ID number you have entered and the provider ID number you have entered are correct. Using anything other than the correctly assigned ID numbers will delay the payments to your employees, agency/vendors or independent contractors.
- Please do not complete a timesheet for any services that are provided by an Agency/Vendor or Independent Contractor. Agency/Vendors and Independent Contractors will give you an invoice for the month in which they provided services, and the invoice amount must be entered into the agency/vendor and independent contractor invoice screen, not into the employee timesheet screen.
- Service codes entered on employee timesheets should be two digits only. Please do not use any letters in the service code, such as 32R, using anything other than the correct two digits will create an error in the system and could delay the payment to your provider. Although a letter is used on an employee’s paper timesheet which designates the section the employee is budgeted, you do not use these letters when entering this information in web entry. You simply select the correct plan section for each employee from the down menu.
- Agency/Vendor or Independent Contractor invoices should be entered using service codes with two digits. If you enter more than two digits, it will create an error in the system and will delay payment to your provider.
The following service codes are the only service codes that can include more than 2 digits. These services would be provided by a licensed professional and would be submitted as an Agency/Vendor or Independent Contractor invoice.
- 06A – Behavior Therapy Assessment
- 29A – OT Assessment
- 38A – Physical Therapy Assessment
- 45A – Respiratory Therapy Assessment
- 53A – Speech Therapy Assessment
- 14A – ENV Modification Assessment
- 33A – Personal Emergency Response System Installation.
- If you have allocated a portion of your CDC+ monthly budget in your approved purchasing plan to be received as a cash payment each month, it is not necessary to submit reimbursement requests for your cash receipts. The monthly cash check will be handled automatically as it has been in the past.
- Please remember it is critical that you write down, print and retain all your submitted tracking ID numbers that are issued on the web system. Without this tracking number we are unable to be fully responsive to researching any issues with payment connected with web entry submissions.
- Reminders:
- Please be sure to select the correct time period and enter the correct day for each service in the timesheet screen. It is always good practice to read over the data you have entered and verify it is correct before you push the submit button.
- Although all timesheets, invoices and reimbursements will be submitted by web entry or by calling the CDC+ Customer Service Call Center, all paperwork must be complete in order to process payments. The paper documents representing the payroll claims you have submitted for payroll must be maintained in your CDC+ file.
- All new provider enrollment forms must be received and completed correctly prior to any payment for services.DHE employees are required to have an Employee Information Form, W4, and I9. Agency/Vendors must have a Vendor Information Form and Independent Contractors must have a Vendor Information Form, and W9. Failure to provide the necessary forms will delay the payments to your employees, agency/vendors or independent contractors.
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