jagomart
digital resources
picture1_Excel Sample Sheet 41288 | Learn Center Personnel Data   Hcbs Arpa Training V10 20220323


 179x       Filetype XLSX       File size 0.09 MB       Source: portal.ct.gov


File: Excel Sample Sheet 41288 | Learn Center Personnel Data Hcbs Arpa Training V10 20220323
sheet 1 instructions connecticut department of social services home and community based services hcbs provider employee training roster form purpose the nbsp hcbs provider employee training registration form is a ...

icon picture XLSX Filetype Excel XLSX | Posted on 15 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: Instructions

Connecticut Department of Social Services
Home and Community Based Services

HCBS Provider Employee Training Roster Form

Purpose
The HCBS Provider Employee Training Registration Form is a document for providers to register their employees for HCBS ARPA Training. Once registered, each employee will be assigned a learner identifier, enrolled in the HCBS Racial Equity Training Program and notified of their creditials by the email address provided.

Information to Include
The information required to enroll a group of provider employees is the Provider's agency name, the Provider's ID and for each employee to be trained; their first name, last name and an email address.

How the form is used
This form will be used to enroll a provider's employees in to the HCBS Racial Equity Training Course, which is an eligibility component of the HCBS ARPA Value Based Payment incentive.

Instructions
Enter the information defined below in the corresponding fields on the Learn Center Personnel Imports tab. The DSS LearnCenter will return incomplete or inaccurate enrollment forms to the sender with a copy to a staff member at DSS Community Options. It is the responsibility of the submitting agency to return an accurate and complete form to the DSS LearnCenter. These enrollments cannot be processed with incomplete or inaccurate information.

Fields
Provider Agency Name - Enter the legal entity name of the provider's agency. If doing business as, enter the dba name in parenthesis at the end.
Total Number of Employees in the Agency - Enter the total number of employees in the Home and Community Based Services (HCBS) provider's agency.
Agency Training Point of Contact (PoC) Name - Enter the name of the primary point of contact in the provider agency for support of this training program.
Agency Training PoC Email - Enter the email address of the primary point of contact in the provider agency for support of this training program.
Agency Training PoC Phone - Enter the phone number of the primary point of contact in the provider agency for support of this training program.
Line No. (Column A) - Enter a sequential number for each employee to be listed. To add additional rows to the blue/white lined table, select any empty field in the bottom empty row of the table, right click, select Insert, select Table Row Below. Repeat for as many additional rows as required.
First Name (Column B) - Enter the first name of the employee to enroll for training.
Last Name (Column C) - Enter the last name of the employee to enroll for training.
AVRS (Medicaid) ID (Column D) - Enter the AVRS (Medicaid) ID ....
Learner Email Address (Column E) - Enter the email address of the employee to be enrolled for training. Enrollment instructions will be sent to the employee at this email address.
Manager/ Supervisor? (Yes/No) (Column F) - Enter YES if the employee is a manager or supervisor and NO if not.

The words contained in this file might help you see if this file matches what you are looking for:

...Sheet instructions connecticut department of social services home and community based hcbs provider employee training roster form purpose the nbsp registration is a document for providers to register their employees arpa once registered each will be assigned learner identifier enrolled in racial equity program notified creditials by email address provided information include required enroll group s agency name id trained first last an how used this course which eligibility component value payment incentive enter defined below corresponding fields on learn center personnel imports tab dss learncenter return incomplete or inaccurate enrollment forms sender with copy staff member at options it responsibility submitting accurate complete these enrollments cannot processed legal entity if doing business as dba parenthesis end total number point contact poc primary support phone line no column sequential listed add additional rows bluewhite lined table select any empty field bottom row right...

no reviews yet
Please Login to review.