ENSO Recovery Services

Weekly Time Sheet

Please Note:  We will no longer be accepting faxed time sheets. We are trying to streamline our processes.

Instructions:

This form is self explanatory. It contains 6 fields for each day worked. Form must be filled out completely or it will not be processed.

Time sheets must be emailed by EOB on Friday.

  • Date Field –  with pop up date picker
  • Time in/Time Out – Please separate with |
  • HRS Field – Please enter hours worked for each day.
  • Description – Enter description of work done
  • Program – Select the Facility where the services were performed
  • Units – Number of Billing units for each day

NOTICE: EFFECTIVE 10/26/18

All telephone medication refills must be billable per MaineCare requirements which means a documented face to face or a telephonic clinician-patient contact.  Time recorded for Prescriptions refilled without contact are not billable and therefore this time will be not eligible for payment to the clinician.

Total:

Total:

Total:

Employee/Contractor represents that the hours worked indicated above are true, complete, accurate and that no “off-the-clock” hours were worked. Employee/Contractor has had no work related injury or disease during this work week.and that all clinical documentation is completed and entered into the Enso Recovery Human Resources System.

Enter Full Name.
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