Timesheets, verification and pay
This is the machinery that turns care into a paycheck. It is also where most avoidable problems happen, so it is worth understanding properly.
What the law requires
RSMo 208.909 places the timesheet obligation on you, the consumer: preparing and submitting time sheets signed by both the consumer and personal care attendant to the vendor on a biweekly basis, and verifying the wages paid to your attendant.
Two signatures, every period. Yours is not a formality — it certifies that the hours claimed were actually worked.
Electronic visit verification
Missouri, like every state, requires electronic visit verification for Medicaid personal care services under the federal 21st Century Cures Act. In practice your attendant records the start and end of each visit electronically, and that record is matched against the timesheet.
EVV is not surveillance of your home. It captures when a visit began and ended, and that it happened. More on EVV compliance →
The pay cycle
- Your attendant works the hours you scheduled, within your authorized plan.
- Visits are recorded through EVV as they happen.
- At the end of each biweekly period, you and your attendant review and both sign the timesheet.
- The timesheet reaches us by the submission deadline.
- We verify it against the care plan and the EVV record.
- Payroll runs, taxes are withheld, and your attendant is paid.
- We bill MO HealthNet. No money passes between you and your attendant.
Late timesheets are the number one cause of late pay. If a timesheet misses the deadline, it generally rolls to the next cycle. Put the submission date on a calendar.
Before you sign, check
- The dates and times match what actually happened.
- No hours appear on days your attendant was not there.
- Nothing is claimed for time you were in hospital or away.
- The tasks recorded are ones in your authorized plan.
- The totals add up and stay within your authorized hours.
Do not sign a blank timesheet
Signing a blank or incomplete timesheet hands someone else the ability to claim hours in your name — and your signature is what certifies them. If you are asked to pre-sign, refuse and call us at (314) 809-6655. Claiming unworked hours is Medicaid fraud. What that means →
If pay is wrong
Call us. Have the pay period dates and the timesheet in front of you. If the error is ours, we correct it — we do not make an attendant wait a full cycle for our mistake. If the timesheet was short or late, we will tell you plainly and show you what happened.
Attendant pay and payroll detail →
Ready to take the next step?
Call (314) 809-6655 for a free consultation, or text (314) 886-5902. We serve St. Louis City, St. Louis County and Missouri communities within about 40 miles of our office.