Consumer Directed Care Plus Module: CDC+ Enrollment Packet 1 INTRODUCTION • The CDC+ Enrollment Packet is the second packet in the enrollment process. • The Enrollment Packet is mailed to the consultant at the same time the consumer receives the CDC+ Program Guidelines. • Enrollment packets are reviewed by staff within three to five business days of receipt. • Consultants are notified of any corrections needed to complete the enrollment process. 2 CDC+ Enrollment Packet The enrollment packet is created and mailed to the consultant after: • A complete application packet has been received, reviewed, and entered into the CDC+ system; • The Internal Revenue Service (IRS) issues an Employer Identification Number (EIN); and • Background screening clearance has been received for the representative, if applicable. 3 Documents in the CDC+ Enrollment Packet REQUIRED OPTIONAL 4 • BUDGET AUTHORIZATION FORM (BAF) • IRS FORM 8821 • IRS FORM 2678 • INFORMED CONSENT FORM • CDC+ BUDGET PLAN • PERSONAL GOAL SETTING TOOL • EMPLOYEE FORMS • BACKGROUND SCREENING FORMS •CDC+ DIRECT DEPOSIT FORM • CDC+ VENDOR REGISTRATION FORM Documentation Maintaining accurate and complete documentation is one of the most important responsibilities DOEA has as a Fiscal/Employer Agent (F/EA). CDC+ Program Office staff may return documents for corrections in order to meet program standards and requirements. CDC+ Program Office staff are prohibited from making corrections to documents on behalf of the consumer or the consultant. 5 Budget Authorization Form (BAF) Must be signed by an authorized person having budget authority. 6 IRS Form 8821: Tax Information Authorization 7 IRS Form 2678: Employer/Payer Appointment of Agent 8 CDC+ Informed Consent Form 9 CDC+ Budget Plan Identifies how the monthly allocation will be used by the consumer to receive the services reflected in the waiver care plan; Lists the appropriate Service/Cash/Savings Codes for each item; and Includes an emergency back-up plan for critical services. 10 CDC+ Service Codes Service codes are used to identify the goods and services that may be purchased through CDC+. All items on the CDC+ Budget Plan must be identified by one of the service codes. A list of service codes is available at www.cdcplus.org under Information Available for Download: Service/Cash/Savings Codes. 11 Employer Taxes Employer Taxes Taxable Employees Employee Taxes Federal Unemployment Tax (FUTA); Social Security State Unemployment Tax (SUTA); Federal Withholding Medicare Social Security Medicare Non-taxable Employees 12 None Federal Withholding CDC+ Budget Plan 13 CDC+ Budget Plan Taxable and Non-Taxable Employees Taxable Workers 1. Weekly hours x hourly rate = sub-total Non-taxable workers 1. Weekly hours x hourly rate = total 2. Sub-total x .1115 = taxes 3. Sub-total + taxes = total Add the final total from the taxable and non-taxable workers to obtain the total for all weekly services. 14 CDC+ Budget Plan Vendors and Cash Items 15 CDC+ Budget Plan Savings and Summary 16 CDC+ Budget Plan Employee/Vendors Pool 17 CDC+ Vendor Registration Form 18 How to Submit the CDC+ Enrollment Packet The CDC+ Enrollment Packet can be submitted to the CDC+ Program Office in one of the following methods: Fax to: 850-414-2310 - OR Mail to: Florida Department of Elder Affairs Consumer Directed Care Plus (CDC+) 4040 Esplanade Way, Suite 350 Tallahassee, FL 32399-7000 19 Technical Assistance All questions regarding this training module should be directed to: Customer Service: 1-866-232-3733 Email: [email protected] 20 Thank you. 21
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