Texas
Important Notice: EVV State Deadline is 1/1/2021
98.8% Customer Satisfaction Average for 2020
To contact Acumen Fiscal Agent, please call (866) 759-9524 or fax (855) 264-3287.
CLASS
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX CLASS Employee Enrollment Packet
TX Client & Employer Change Information Form
TX Compensation Request Form
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX Payment Schedule
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form
DBMD
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX Client & Employer Change Information Form
TX Compensation Request Form
TX DBMD Employee Enrollment Packet
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX Payment Schedule
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form
HCS
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX Client & Employer Change Information Form
TX Compensation Request Form
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX HCS Employee Enrollment Packet
TX HCS Timesheet & Instructions
TX Payment Schedule
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form
PCS
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX Client & Employer Change Information Form
TX Compensation Request Form
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX PCS Employee Enrollment Packet
TX Payment Schedule
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form
PHC
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX Client & Employer Change Information Form
TX Compensation Request Form
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX PHC Employee Enrollment Packet
TX Payment Schedule
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form
STAR Kids
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX Client & Employer Change Information Form
TX Compensation Request Form
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX Payment Schedule
TX STAR Kids Employee Enrollment Packet
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form
STAR+PLUS
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX Client & Employer Change Information Form
TX Compensation Request Form
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX Payment Schedule
TX STAR PLUS Employee Enrollment Packet
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form
TXHML
Program WebsiteConsumer Directed Services Employer Handbook
Participant Employer Forms
Form W-9TX Client & Employer Change Information Form
TX Compensation Request Form
TX Employee Termination Form
TX Form 1723 EVV Request for Employer Phone Numbers
TX Payment Schedule
TX TXHML Employee Enrollment Packet
TX Vendor Payment Request Form
Direct Care Employee Forms
Form W-4TX Employee Change Information Form
TX Pay Selection & Direct Deposit Form