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Welcome to Outreach of Texas!

Call Today!  888-703-1316

Outreach, a statewide Fiscal Management Service Agency, supports participants to successfully manage their services.

 

Your Consumer Directed Services (CDS) Partner

Outreach supports participants to successfully manage their care:

  • Conducting in-person enrollment meetings
  • Assisting with the completion of employer and employee forms
  • Providing easy to complete New Employee Packets
  • Accessing online systems for budget information, time entry, and reports (coming soon)
  • Providing employer training tools
  • Assisting with employer related tasks
  • Regular communication with the participant’s case manager
  • Processing payroll and taxes for participant employees
  • Reporting Medicaid Fraud and Abuse, Neglect and Exploitation to appropriate authorities

 

About Outreach of Texas

Outreach Health Services LogoOutreach Health Services (Outreach) has provided home care services for over 40 years. The company began providing self-directed services over fifteen years ago. Outreach embraces the self-directed philosophy and respects the decisions of the participant/employer. The company believes it is our responsibility to provide the participant with the right amount of support and training tools to manage his or her care successfully.

Outreach is a state- wide consumer directed service provider in all service and catchment areas;

little-girlCLASS, CMPAS, DBMD, HCS, PHC, FC, CAS, TxHmL, and PCS

STAR Kids MDCP / PCS (Aetna Better Health Texas, Amerigroup, Blue Cross and Blue Shield of Texas, Children’s Medical Center Health Plan, Community First Health Plans, Cook’s Children’s Health Plan, Driscol Health Plan, Superior Health Plan, Texas Children’s Health Plan, and United Healthcare Community Plan)

STAR+PLUS (Amerigroup, Molina Healthcare of Texas, Superior Health Plan, United Healthcare Community Plan, and Cigna-Health Spring

To learn more about Outreach Health Services visit www.OutreachHealth.com.

Participant Employer

Forms and Instructions

The following forms need to be completed by the participant so they can be set up as an employer through Outreach Health Services. This is needed for Outreach to provide payroll services to their employees.

Please take the time to download, review and complete the Participant Employer Packet and return the completed forms to Outreach Health Services. You can fax the completed packet to 888-703-1130 .

Participant/Employer Packet
Instructions, form explanation and forms to be completed by the a new participant/employer.
Form 2678 Employer/Payer Appointment of Agent Form
This form is needed for Outreach to be able to process employee federal taxes withholdings based on the W4 filled out by an employee and act as the participant/employer’s payroll agent.
Data Change Form
The Data Change form is used to notify Outreach of any changes for the Participant/Employer.
Employee Termination Form
This form is used to notify Outreach when an employee is terminated. The employer must notify Outreach within 24 hours when an employee is terminated.

Participant Employees

The following forms are used to enroll as a employee. Please take the time to download, review and complete the Employee Packet and return the completed forms to Outreach Health Services. You can fax the Employee Packet using our toll free fax, below.

The forms in the first section must be completed and faxed to Outreach first. When the eligibility checks have been processed Outreach will call the employer and let them know that the section can be completed and faxed in.

Toll Free Fax: 888-703-1130
Email: cds.forms@outreachhealth.com

Remember that employee will not be paid for work time until these forms have been received and are processed by Outreach Health Services. Outreach will call the employer and follow with a letter when the employee is approved to begin work.

Employee Packet
The Employee Packet contains instructions, form explanation and forms to be completed by the a new employee.
W4 Form
The W4 form is for federal tax purposes and taxes are deducted from your pay based on the claim in this form. It can be updated at any time. This form is included in the Employee Packet above.
W-2 Request Form
This form is used to request a copy of your W-2 form.
I-9 Form
This form documents that an applicant is eligible to work in the United States. This form is also included in the Employee Packet above. It is tricky to fill out so call Outreach if you have any questions.
Data Change Form
The Data Change form is used to notify Outreach of any changes to the employee personal information.
Direct Deposit Authorization Form
This Direct Deposit Authorization form is used to authorize direct deposit for payment of services. Outreach strongly encourages the use of direct deposit or debit card for to receive your pay.
Direct Deposit Cancelation Form
The Direct Deposit Cancelation form is used to cancel direct deposit for payment of services.
Money Network Application and Deposit Agreement
The Money Network Payroll Debit Card (“Card”) provides a dependable, safe, optional, and convenient way for you to receive and access payment for your services. Outreach strongly encourages use of direct deposit or pay card. This form is included in the PWH Packet above. Watch the Money Network Mobile App video below to see how you can manage your money using your mobile device.
Money Network Card Fee Schedule
Fees schedule associated with the Money Network Payroll Card. Many Card transactions are free (you can access 100% of your wages,to the penny, using the Money Network Service), but there are fees for other transactions.
Debit Card Cancelation Form
The Debit Card Cancelation form is used to stop your paycheck from being deposited on the Money Network Payroll Debit Card (“Card”).
 

Money Network Mobile App - Video

Outreach provides the option to get paid using the Money Network Payroll Debit Card.

Watch this short video to learn how you can manage your money using the Money Network mobile application.

Payment Forms

Forms and Instructions

The following forms are used by the participant's employee to receive payment.

Time must be submitted by Monday at midnight for the pay period. Late time may result in late pay.

Toll Free Fax: 888-703-1416
Email: cdstimesheets@outreachhealth.com

Note: Use the proper timesheet for the appropriate program or services. Contact your Service Representative for more information.

2019 Payroll Calendar
Shows when timesheets are due and paycheck are issued for the 2019 calendar year.
Time Sheet
Used to submit your hours to Outreach Health Services for payment. Note: Only use this form for the appropriate program or services. Contact your Service Representative for more information.
Form 1745
This form serves as the primary time keeping document to record the service delivery activities performed by the employee. The employee completes this form every two weeks. The participant reviews and approves the hours worked and the activities conducted and submits it to Outreach Health Services every two weeks as a time sheet. Note: Only use this form for the appropriate program or services. Contact your Service Representative for more information.
Form 1730 Wage and Benefits Plan - Employee Compensation
This form is used to update the employee rate.

Resources

Helpful guides and information to make your self-directed care a success.

These guides are meant to be a resource for you.  Please take the time to download and read these guides. If you have additional questions, please call Outreach toll free at 888-703-1316 for assistance.

Employee Safety Handbook
Important safety information for you to read and share with your employees.
Outreach Health Services Rights and Responsibilities
This notice describes how service information about you may be used and disclosed and how you can get access to this information.
Please review it carefully.

Contact Us

We'd love to hear from you!

Please call us if you have any questions, concerns or need assistance in any way!
Phone 214-703-1435
Toll Free 888-703-1316
Fax 866-703-1130 (for Participant and Employee Forms)
Fax 888-703-1416 (for Time Sheets)
Website outreachhealth.com/tx