GT Independence 215 Broadus Sturgis, MI 49091 … · States may enforce the FCRA, and many states...

GT Independence

215 Broadus Sturgis, MI 49091

877.659.4500 www.gtindependence.com

Your life. Your choice.

November 2017

Dear Caregiver,

As you continue to provide excellent care to the people you serve, we too continuously strive toimprove the quality of the services we provide. We hope you find the enclosed items helpful.

2018 Payroll Schedule – Please find your 2018 Payroll Schedule enclosed and review itcarefully. Please remember that timesheets can be submitted 24 hours/day, 7 days/week– even on holidays! You can be alerted via text or e-mail that your timesheet has beenreceived. Alerts are also sent if the timesheet is unable to be processed due to an error sothat you can correct the issue and avoid delays in payment. Ask a Customer ServiceRepresentative for more details!

Telehealth Information – We have included information about an optional service calledTelehealth. This service is available to you at a low cost if you choose to participate.

GT Independence Portal and Online Timesheets – Our secure portal allows you to viewyour pay stubs, print blank timesheets, check the Payroll Schedule, as well as submitCustomer Service requests. You can also now submit timesheets online through theportal!

Caregiver Survey – Please take a moment to complete and return the enclosed survey.Your valuable feedback helps us to provide the highest quality services for self-directedcare. Thank you!

The holiday season is a time to reflect upon the things for which we are thankful. Thank you forcontinuing to provide care to the people you serve. Because of providers like you, more andmore people are able to live an independent lifestyle of their choosing. Thank you.

If you have any questions regarding this letter please feel free to contact our customer servicedepartment at [email protected], or by phone at 1-877-659-4500.

Thank you,

Customer Service Department

GT Independence215 Broadus St., Sturgis, MI 49091PHONE 877.659.4500TIMESHEET FAX 855.329.8648

Log In To Your GT Portal Account Today!

To create your personal GT portal account visit:portal.gtindependence.com

www.gtindependence.com1-877-659-4500

Submit your timesheet online

Access from your smartphone or tablet

Caregivers can view/print paystubs

Participants can view/print budget reports

Access important documents

Contact GT customer service online

Your Personalized GT Portal Account is Full of Great Features and is Waiting For You!

Win A $25 Gift Card

Submit your timesheet online each pay period to be added to each month’s new drawing.

Create A Portal AccountVisit portal.gtindependence.com to register your free account or simply login if you have already created an account.

Submit Your Timesheet Online Complete your timesheet online through the portal.

Approve To EnterOnce your online timesheet is appOnce your online timesheet is approved and submitted by your employer your drawing entry is complete.WIN!GT Independence will draw 5 winning timesheets each month. Winning caregivers and participants will each recieve a $25 Amazon gift card.

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Submitting your timesheet online is quick and easy and now it could make you a winner.

Follow the steps below to enter our timesheet drawing for your chance to WIN!!

Disclaimer: Winners will be randomly selected from eligible entries at the sole discretion of GT Independence. Participation in the giveaway is not a guarantee of winning. All applicable federal, state, and local laws and regulations apply. Void where prohibited by law.

For full terms and conditions visit www.gtindependence.com\25giveawaydisclaimer

Welcome to the GT Portal

Your Personalized GT Portal Account is ready and waiting for you to log in.

YOUR ACCOUNT ID: _____________________________

Access from your smartphone or tablet

Caregivers can View / Print Paystubs

Participants can View / Print Budget Reports

Access Important Documents

Contact GT Customer Service

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Para informacion en espanol, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20006.

A Summary of Your Rights Under the Fair Credit Reporting Act

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20006.

• You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that provided the information.

• You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:

• a person has taken adverse action against you because of information in your credit report; • you are the victim of identify theft and place a fraud alert in your file; • your file contains inaccurate information as a result of fraud; • you are on public assistance; • you are unemployed but expect to apply for employment within 60 days.

In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information.

• You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender.

• You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures.

• Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate.

• Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old.

• Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need - usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.

• You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore.

• You may limit "prescreened" offers of credit and insurance you get based on information in your credit report.Unsolicited "prescreened" offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at 1-888-567-8688.

• You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court.

• Identity theft victims and active duty military personnel have additional rights. For more information, www.consumerfinance.gov/learnmore.

Page 2 of 4

11/25/2012

States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact:

TYPE OF BUSINESS: CONTACT:

1.a. Banks, savings associations, and credit unions with total assets of over $10 billion and their affiliates.

b. Such affiliates that are not banks, savings associations, or credit unions also should list, in addition to the Bureau:

a. Bureau of Consumer Financial Protection1700 G Street NWWashington, DC 20006

b. Federal Trade Commission: Consumer Response Center - FCRAWashington, DC 20580(877) 382-4357

2. To the extent not included in item 1 above:

a. National banks, federal savings associations, and federal branches and federal agencies of foreign banks

b. State member banks, branches and agencies of foreign banks (other than federal branches, federal agencies, and insured state branches of foreign banks), commercial lending companies owned or controlled by foreign banks, and organizations operating under section 25 or 25A of the Federal Reserve Act

c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured state savings associations

d. Federal Credit Unions

a. Office of the Comptroller of the CurrencyCustomer Assistance Group1301 McKinney Street, Suite 3450Houston, TX 77010-9050

b. Federal Reserve Consumer Help CenterP.O. Box 1200Minneapolis, MN 55480

c. FDIC Consumer Response Center1100 Walnut Street, Box #11Kansas City, MO 64106

d. National Credit Union AdministrationOffice of Consumer Protection (OCP)Division of Consumer Compliance and Outreach (DCCO)1775 Duke StreetAlexandria, VA 22314

3. Air carriers Asst. General Counsel for Aviation Enforcement & ProceedingsDepartment of Transportation400 Seventh Street SWWashington, DC 20590

4. Creditors Subject to Surface Transportation Board Office of Proceedings, Surface Transportation BoardDepartment of Transportation1925 K Street NWWashington, DC 20423

5. Creditors Subject to Packers and Stockyards Act Nearest Packers and Stockyards Administration area supervisor

6. Small Business Investment Companies Associate Deputy Administrator for Capital AccessUnited States Small Business Administration406 Third Street, SW, 8th FloorWashington, DC 20416

7. Brokers and Dealers Securities and Exchange Commission100 F St NEWashington, DC 20549

8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate Credit Banks, and Production Credit Associations

Farm Credit Administration1501 Farm Credit DriveMcLean, VA 22102-5090

9. Retailers, Finance Companies, and All Other Creditors Not Listed Above FTC Regional Office for region in which the creditor operates orFederal Trade Commission: Consumer Response Center - FCRAWashington, DC 20580(877) 382-4357

Page 3 of 4

11/25/2012

GT IndependenceCaregiver Link Application

Dear Caregiver:

Do you have an interest in additional work hours? GT independence has a resource tool calledCaregiver Link, which is an online caregiver directory. The directory works to connectindividuals seeking provider services and supports with potential people who enjoy working inthe care giving field.

Please complete the information below and return this form to GT by fax at 888.972.3891 to beadded to our caregiver directory. Your completion of this form does not guaranteeemployment, however it may provide you with an opportunity to provide Self-Directedsupports for one or more additional people. GT Independence encourages you to meet andinterview with any opportunities that you may receive to provide supports for additionalpeople.

Application – Please printNAME:ADDRESS: (Street address, city, state, zip code)

PHONE NUMBER(S):

EMAIL ADDRESS:

Are you at least 18 years old? Medicaid funding requires you to be a minimum of 18 years old.Circle one: YES / NO

Do you have your own transportation? Circle one: YES / NO

Do you have experience working with people who have a disability? Circle one: YES / NO

When are you able to work? Circle all that apply:DAYS / NIGHTS / WEEKENDS

Please note the days you are unavailable to work.

Have you ever been convicted of a felony or misdemeanor? Circle one: YES / NO

By signing this application you are consenting to GT Independence sharing your name andphone number with potential individuals needing services/supports, and Care Managers withManaged Care Organizations.

Employee Signature Date

INTERNAL USE ONLYDATATRAC File

Employee Name: Agency:

I Provide Services For (Participant Name): Method of Notification:

E-mail OR SMS Text Message

E-mail: Cell Phone #:

Provider(Cell Phone Company):

GT Independence

Timesheet Notification Registration

GT Independence can notify you of the receipt of your timesheet by sending an email

notification or SMS (Short Message Service) text message. To sign up for this notification

service, please fill out the information below and submit via:

Mail: 215 Broadus St

Sturgis, MI 49091

Fax: 888-972-3891

E-mail: [email protected]

Please print clearly

Please allow two to four weeks for processing. Once activated, notifications will be sent within

2 business days of receipt of the timesheet. This notification does not guarantee the timesheet

will be paid, only that it has been received. GT Independence will contact the appropriate

parties if the timesheet cannot be processed.

By signing below, I agree to not hold GT Independence responsible for the privacy of the

message or any text message/data rates that may be incurred.

Employee Signature Date

To cancel notifications, please submit a completed Status Change Form, available by contacting

Customer Service at 877-659-4500.

mailto:[email protected]

mailto:[email protected]

GT Independence Customer Service877-659-4500

Timesheet Submission:Fax: 855-FAX-TO-GT or 855-329-8648E-mail: [email protected]: 215 Broadus St.

Sturgis, MI 49091

IRIS Timesheet Submission Guidelines

Did you send your timesheet in on time?You do not have to wait for the due date to send in your timesheets. Our fax machines and e-mail system can accept faxes 24 hours/ day, 7days/week. Refer to the payroll schedule to assure you are submitting your timesheet on time. Timesheets cannot be submitted before all of thehours are worked. Late timesheets will be paid on the following pay period. Please contact Customer Service with any questions, 1-877-659-4500.

Are your timesheets legible?Take your time in completing your timesheet. Please print clearly in blue or black ink.

Have you filled in the pay period dates at the top of your timesheet?Please refer to the payroll schedule you have been provided for the correct payroll period.

Have you included all of the time worked for this payroll period?

Did you work all of the hours you submitted?It is fraudulent to report hours you did not work. You cannot report hours while the member you are providing services for is hospitalized or in amedical facility (i.e. hospital, nursing home, rehab).

Did you report your time in the correct format and include AM and PM?You need to report time in fifteen minute increments. For example, 8:06 AM – 10:35 AM should be reported as 8:15 AM – 10:30 AM. Each fifteenminute increment is equal to one quarter of an hour. .25 hours = 15 minutes, .50 hours = 30 minutes, .75 hours = 45 minutes

Does your time in and time out equal the hours reported for each day?

Did you include the correct service code for each day worked?The employee folder provided to you includes the correct service code information. If you are unsure about which service code you should beusing please contact Customer Service at 877-659-4500.

Did you total your hours at the bottom of your timesheet for the current pay period?

Did you make sure not to use white out on your timesheet?If you make an error on your timesheet you should correct it by drawing a single line through it. Both the employer and employee should date andinitial the correction.

Did you fully complete each section of the timesheet?You may not draw lines, arrows, or use ditto marks to complete sections of your timesheet. Each section must be completed even if theinformation is the same.

Did the employee and employer both sign and date the timesheet with month, date, and year on or after the lastdate worked?Be sure that your timesheet is signed by the Employer and the Employee along with the date. The date must be the complete date with month,date, and year and be on or after the last date worked.

If you needed to resubmit a timesheet did you write “REFAX” at the top of the timesheet?

Did you report more hours than authorized?Your timesheet may be delayed if you report more hours than you were approved to provide.

Period Begins:

Period Ends:

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�S�U�B�M�I�T� �T�I�M�E�S�H�E�E�T�SFAX: 855-329-8648Email: [email protected]: GT Independence215 Broadus St. Sturgis, MI 49091

Please call GT Independence at877-659-4500 with any questions on

how to complete this form

Day ofWeek

Day of WeekMM/DD

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Total Hours - Week 1

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Period Begins:

Period Ends:

Self Determination Timesheet

MM/DD/YY

MM/DD/YY

Participant:

Participant-Hired Worker:

Date:____/____/___ MM/DD/YY

Participant-Hired Worker Signature:__________________________________

Date:____/____/___ MM/DD/YY

Participant/Supervisor Signature:__________________________________

The Participant Employer/Guardian and Participant HiredWorker certify that the information provided on this time

report is a true and accurate statement of the servicesprovided. The Participant Employer/Guardian and

Participant Hired Worker understand that payment forservices provided are the subject to payroll taxes.

SUBMIT TIMESHEETSFAX: 855-329-8648Email: [email protected]: GT Independence215 Broadus St. Sturgis, MI 49091

Please call GT Independence at877-659-4500 with any questions on

how to complete this form

Day ofWeek

Day of WeekMM/DD

Service Code Service Code Service Code Service Code


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Service Code Service Code Service Code Service Code


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GT Independence

2018 Payroll Schedule IRIS

The office will be closed on the following days: Thursday, November 23, 2017 Friday, November 24, 2017 Monday, December 25, 2017 Tuesday, December 26, 2017 Monday, January 1, 2018 Monday, May 28, 2018 Wednesday, July 4, 2018 Monday, September 3, 2018 Thursday, November 22, 2018 Friday, November 23, 2018 Monday, December 24, 2018 Tuesday, December 26, 2018 Tuesday, January 1, 2019

Please remember the following about your timesheets: Please review the Timesheet Submission Guidelines to assure your timesheet is complete

Timesheets must be completed with blue or black ink

Timesheets are to be signed and dated by the employee and the employer

Signature dates should be in MM/DD/YY format

Must be completed with printed employer and employee names, dates, times and service type

Only one entry is allowed per row on the time sheet - submit multiple timesheets if necessary

Incorrect timesheets will require resubmission of corrected timesheets and will delay payment

All resubmissions are required to have “REFAX” written at the top of the timesheet

When working for multiple employers, you must turn in a timesheet for each employer

Late timesheets will be held until the following pay period

White-out, ditto marks or lines drawn down the columns are not permitted

You cannot submit time when the person receiving services is in the hospital

Timesheets are accepted by e-mail and fax 24 hours per day, 7 days per week – even on holidays

Fax your timesheets to 855-FAX-TO-GT (855-329-8648) Timesheets are accepted by email at [email protected] Timesheets accepted online at portal.gtindependence.com For assistance call Customer Service at 877-659-4500

Pay Period: Timesheets Due by 5:00 pm: Payment Date:

Nov. 12 – Nov. 25, 2017 Friday, December 1, 2017 Friday, December 15, 2017

Nov. 26 – Dec. 9, 2017 Friday, December 15, 2017 Friday, December 29, 2017

Dec. 10 – Dec. 23, 2017 Friday, December 29, 2017 Friday, January 12, 2018

Dec. 24, 2017 – Jan. 6, 2018 Friday, January 12, 2018 Friday, January 26, 2018

Jan. 7 – Jan. 20 Friday, January 26, 2018 Friday, February 9, 2018

Jan. 21 – Feb. 3 Friday, February 9, 2018 Friday, February 23, 2018

Feb. 4 – Feb. 17 Friday, February 23, 2018 Friday, March 9, 2018

Feb. 18 – Mar. 3 Friday, March 9, 2018 Friday, March 23, 2018

Mar. 4 – Mar. 17 Friday, March 23, 2018 Friday, April 6, 2018

Mar. 18 – Mar. 31 Friday, April 6, 2018 Friday, April 20, 2018

Apr. 1 – Apr. 14 Friday, April 20, 2018 Friday, May 4, 2018

Apr. 15 – Apr. 28 Friday, May 4, 2018 Friday, May 18, 2018

Apr. 29 – May 12 Friday, May 18, 2018 Friday, June 1, 2018

May 13 – May 26 Friday, June 1, 2018 Friday, June 15, 2018

May 27 – Jun. 9 Friday, June 15, 2018 Friday, June 29, 2018

Jun. 10 – Jun. 23 Friday, June 29, 2018 Friday, July 13, 2018

Jun. 24 – Jul. 7 Friday, July 13, 2018 Friday, July 27, 2018

Jul. 8 – Jul. 21 Friday, July 27, 2018 Friday, August 10, 2018

Jul. 22 – Aug. 4 Friday, August 10, 2018 Friday, August 24, 2018

Aug. 5 – Aug. 18 Friday, August 24, 2018 Friday, September 7, 2018

Aug. 19 – Sept. 1 Friday, September 7, 2018 Friday, September 21, 2018

Sept. 2 – Sept. 15 Friday, September 21, 2018 Friday, October 5, 2018

Sept. 16 – Sept. 29 Friday, October 5, 2018 Friday, October 19, 2018

Sept. 30 – Oct. 13 Friday, October 19, 2018 Friday, November 2, 2018

Oct. 14 – Oct. 27 Friday, November 2, 2018 Friday, November 16, 2018

Oct. 28 – Nov. 10 Friday, November 16, 2018 Friday, November 30, 2018

Nov. 11 – Nov. 24 Friday, November 30, 2018 Friday, December 14, 2018

Nov. 25 – Dec. 8 Friday, December 14, 2018 Friday, December 28, 2018

Dec. 9 – Dec. 22 Friday, December 28, 2018 Friday, January 11, 2019

Dec. 23 – Jan. 5, 2019 Friday, January 11, 2019 Friday, January 25, 2019

***If your timesheet requires a refax or resubmission

your payment will be delayed.

***Timesheets submitted that are over the

authorized amount may not be eligible for payment.

Please only submit time that has been authorized.

GT Independence 215 Broadus Sturgis, MI 49091 … · States may enforce the FCRA, and many states...

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