Sara Companion Home Care Services

Learn all about EVV by visiting the Clock in and Clock out link below and then fill in this form.

Clock-In and Clock-Out

Acknowledgement form. Please fill in and submit.

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I hereby acknowledge that I have viewed and fully understand the contents of the NY Medicaid Electronic Visit Verification Program (EVV), which was provided to me by Sara Companion Services, I understand that the information presented along with its links is important for my role for maintaining a safe and productive work environment. PLEASE PRINT YOUR FIRST AND LAST NAME IN THE BOX.

By signing below, I confirm that I have read the entire information regarding NY Medicaid Electronic Visit Verification Program (EVV) and comprehend the procedures, and guidelines outlined therein. I acknowledge my responsibility to adhere to the principles and practices discussed and to integrate them into my daily work activities. PLEASE WRITE YES OR NO IN THIS BOX AND THEN PROCEED.

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For more info: https://www.youtube.com/watch?v=JV0uGVhhSf0. Please write yes or no if you watched the 2 minute HHA Exchange video .

If you have any questions, please contact the HR Compliance department at SARA Companion Home Care Services.

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Acknowledgement Attestation EVV Orientation

If you have any questions, please contact the HR Compliance department at SARA Companion Home Care Services.

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