IN Consumer Directed Attendant Care Program Documents

COVID-19 Resource Links

• IN Government COVID-19
• IN COVID 19 Resource Guide For Hoosiers

Program Overview

• IN FSSA Quick Hits Guide
• Enrollment Flowchart

Enrollment Forms

• Referral Form
• IN FSSA Employee Welcome Packet
• EFT Form
• Power Of Attorney
• Authority Form
• IRS W-4 Withholding Form 2021
• Form WH-4
• Application For Tax Exemptions
• Separation Of Employment Form

Guides

• EFT Instructions
• Consumer Directed Attendant Care (CDAC): Toolkit
• Consumer Directed Attendant Care (CDAC): The Guide
• Self Directed Care Training For The Provider
• Self Directed Care Training For The Case Manager
• Self Directed Care Training For The Consumer
• An Overview Of Self Directed Care For Advocates
• Account Maintenance And Workplace Posters

Timesheets

• Payment Schedule 2021
• Blank Timesheet
• Timesheet Instructions
• E-Timesheet Instructions

Portal

• Instructions On Registering To Use The Web Portal

*Some of the above links may take you to third-party operated websites.