Prototype- Utah Employee Roles and Information

Utah Employee Roles and Information

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
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Fiscal Management Service

The Fiscal Management Services (FMS) or Payroll Agent is responsible for processing time records, paying employees, paying payroll taxes, and maintaining employment law compliance.
Employer Agent Name (Read only)
Phone Number (Read only)
Human Resources Email (Read only)
Human Resources Fax (Read only)
Human Resources Mailing Address (Read only)
Morning Sun Financial Services of Utah
820 Lilac Drive North
Suite 200
Golden Valley, MN 55422
Payroll Email (Read only)
Payroll Fax (Read only)
Payroll Mailing Address (Read only)
Morning Sun Financial Services of Utah
9400 Golden Valley Road
Golden Valley, MN 55427
Program Information
Utah Program

Aging WaiverDSPD - CSW, PDW, ABI, LSW, SOCEPASMCCWMCCW CaregiverNew ChoicesTAP VDHCBSTDWTDW CaregiverWaitlist Care RespiteWaitlist Care Respite CaregiverWaitlist Care Respite - ARPAWaitlist Care Respite - ARPA CaregiverWaitlist Care Respite - Respite OnlyWaitlist Care Respite - One Time RespiteWaitlist Care Respite - One Time Respite Caregiver
HIDE- Utah Program (Circle one)

Aging WaiverDSPD - CSW, PDW, ABI, LSW, SOCEPASMCCWMCCW CaregiverNew ChoicesTAP VDHCBSTDWTDW CaregiverWaitlist Care RespiteWaitlist Care Respite CaregiverWaitlist Care Respite - ARPAWaitlist Care Respite - ARPA CaregiverWaitlist Care Respite - Respite OnlyWaitlist Care Respite - One Time RespiteWaitlist Care Respite - One Time Respite Caregiver
Participant

This is the person that receives services. Other terms include, Consumer, Client, or Person Served
Participant Legal Name*

Legal First NameLegal Last Name
Participant Date of Birth*

MonthDayYear
Date
Employee

This is the person that is responsible for providing services to the Participant
Employee Legal Name*

Legal First NameLegal Middle NameLegal Last Name
Employee Email*
example@example.com
Employee Phone Number*
Please enter a valid phone number.
Employee Address*

Street Address

Apartment or Unit Number

CityState

Zip Code
Employee Social Security Number*
Employee Date of Birth*

MonthDayYear
Date
Employer

This is the person that is responsible for supervising the Employee. In some cases, the Employer can be the Participant or their Authorized Representative.
Employer Legal Name*

Legal First NameLegal Last Name
Employer Email*
example@example.com
Employer Phone Number*
Please enter a valid phone number.
Support Coordinator

This is a person at the Utah Department of Health that provides information and assistance to waiver individuals in directing and managing their services under the self-direction option
Support Coordinator Legal Name*

Legal First NameLegal Last Name
Support Coordinator Email*
example@example.com
Support Coordinator Phone Number*
Please enter a valid phone number.
Certifications
Role Type*
HIDE -Role Type*

RN Respite EmployeeChild Life SpecialistSocial WorkerFeeding Therapy ( Speech or Occupational Therapy)
Required Documentation for RN Respite Employees*

Basic CPR CertificationCurrent RN LicensureProof of Nursing Malpractice Insurance/Individual Professional Liability InsuranceBackground Screening Approval
HIDE Required Documentation for RN Respite Employees*

Basic CPR CertificationCurrent RN LicensureProof of Nursing Malpractice Insurance/Individual Professional Liability InsuranceBackground Screening Approval
Required Documentation for Child Life Specialists*

Child Life CertificationProfessional Liability InsuranceDocumentation of Education and Experience (Minimum of a Bachelor's degree and 3 years work experience as a Child Life Specialist)Background Screening Approval
HIDE-Required Documentation for Child Life Specialists*

Child Life CertificationProfessional Liability InsuranceDocumentation of Education and Experience (Minimum of a Bachelor's degree and 3 years work experience as a Child Life Specialist)Background Screening Approval
Required Documentation for Social Worker*

Clinical Social Work LicenseProfessional Liability InsuranceDocumentation of Education and Experience (Minimum 3 years work experience as a Pediatric Social Worker)Background Screening Approval
HIDE-Required Documentation for Social Worker*

Clinical Social Work LicenseProfessional Liability InsuranceDocumentation of Education and Experience (Minimum 3 years work experience as a Pediatric Social Worker)Background Screening Approval
Required Documentation for Feeding Therapy*

Speech Therapist or Occupational Therapist LicenseProfessional Liability InsuranceDocumentation of Education and Experience (Minimum 3 years work experience as a Pediatric TherapistBackground Screening Approval
HIDE-Required Documentation for Feeding Therapy*

Speech Therapist or Occupational Therapist LicenseProfessional Liability InsuranceDocumentation of Education and Experience (Minimum 3 years work experience as a Pediatric TherapistBackground Screening Approval
Role Type*
HIDE -Role Type*

Skilled Respite EmployeeRoutine Respite Employee
Required Documentation for Skilled Respite Employee*

Basic CPR CertificationBCI - Background and Criminal Investigation Check (Dated within the past year)Self-Directed Service Provider AgreementCurrent RN LicensureProof of Nursing Malpractice Insurance/Individual Professional Liability Insurance
HIDE - Required Documentation for Skilled Respite Employee*

Basic CPR CertificationBCI - Background and Criminal Investigation Check (Dated within the past year)Self-Directed Service Provider AgreementCurrent RN LicensureProof of Nursing Malpractice Insurance/Individual Professional Liability Insurance
Required Documentation for Routine Respite Employee*

Basic CPR CertificationBCI - Background and Criminal Investigation Check (Dated within the past year)Self-Directed Service Provider Agreement
HIDE - Required Documentation for Routine Respite Employee*

Basic CPR CertificationBCI - Background and Criminal Investigation Check (Dated within the past year)Self-Directed Service Provider Agreement
Required Documentation can be uploaded to the Secure Upload here.
File Upload for Required Documentation*

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Utah Employee Roles and Information

Fiscal Management Service

Program Information

Participant

Employee

Employer

Support Coordinator

Certifications