CDS timesheets and pay · Missouri

Timesheets, verification and pay

In Missouri CDS, you and your attendant both sign a timesheet every two weeks, and each visit is logged through electronic visit verification. We check the timesheet against the care plan and the EVV record, run payroll with taxes withheld, and bill MO HealthNet.

This is the machinery that turns care into a paycheck. It is also where most avoidable problems happen, so it is worth understanding properly.

Who has to sign a CDS timesheet?

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.

What is electronic visit verification (EVV)?

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 →

How often does CDS pay?

1. Your attendant works the hours you scheduled, within your authorized plan.
2. Visits are recorded through EVV as they happen.
3. At the end of each biweekly period, you and your attendant review and both sign the timesheet.
4. The timesheet reaches us by the submission deadline.
5. We verify it against the care plan and the EVV record.
6. Payroll runs, taxes are withheld, and your attendant is paid.
7. We bill MO HealthNet. No money passes between you and your attendant.

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 the 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

What if my CDS 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 →

Frequently asked questions

What happens if a CDS timesheet is late?

A timesheet that misses the submission deadline generally rolls to the next pay cycle, which means your attendant is paid later. Late timesheets are the number one cause of late pay. Put the submission date on a calendar, review the timesheet together at the end of each two-week period, and get it to us by the deadline.

Does EVV track what happens in my home?

No. Electronic visit verification is not surveillance of your home. It records when a visit began and ended, and that the visit happened. Your attendant logs the start and end of each visit electronically, and we match that record against the timesheet and your care plan before payroll runs.

Are taxes taken out of CDS attendant pay?

Yes. Your attendant is paid through payroll with taxes withheld, after we verify the signed timesheet against the care plan and the EVV record. We then bill MO HealthNet. No money passes between you and your attendant, so there is no cash to handle and no side arrangement to keep track of.

Can I sign the timesheet before the hours are worked?

No. Never sign a blank or incomplete timesheet. Your signature certifies that the hours claimed were actually worked, so signing ahead hands someone else the ability to claim hours in your name. Claiming unworked hours is Medicaid fraud. If anyone asks you to pre-sign, refuse and call us at (314) 809-6655.