Forms
Consumer Direct Forms
- HHS Form 1745 (Service Delivery Log) (PDF - 92 KB)
- Consumer Direct Time Sheet - MCO (CFC, CFC PAS/HAB, MDCP, PCS Foster Care, PHC, StarKids, StarPlus) (PDF - 137 KB)
- Consumer Direct Time Sheet – all other programs (PDF - 127 KB)
- 2020 Payroll Calendar (PDF - 108 KB)
- Pay Selection Form (PDF - 159 KB)
- Consumer Direct Status Change Form (PDF - 157 KB)
- Consumer Direct Vendor Payment Form (PDF - 162 KB)
- Consumer Rights Notice (PDF - 107 KB)
- Feedback Form for Compliments/Complaints (PDF - 111 KB)
Consumer Direct Employee Packet
Other
- Bloodborne Pathogens Training and Quiz (PDF - 202 KB)
- Web Portal Online Time Sheet Instructions (PDF - 1,023 KB)
- Hartford Workers Comp Reference (PDF - 559 KB)
- Criminal Conviction History and Registry Checks - HHS Form 1725 (PDF - 546 KB)
- I-9 Instructions (PDF - 587 KB)
- How to Read Your W-2 (PDF - 157 KB)
- Secure Email Instructions (PDF - 595 KB)
- Provider Directory Guide (PDF - 1.28 MB)