CCO Forms & Resources

Managed Care Organization (MCO)

• Employee Packet
• ISB Packet
• Vendor Packet
• Account Authorization
• Delegation of Budget Authority

Payment Forms

• Time Sheet
• Mileage
• Non Payroll Reimbursement

General Forms

• Direct Deposit
• ISB EFT
• Vendor EFT
• Change of Information
• Overtime Agreement
• ISB Termination Form

Fee for Service (FFS)

• Employee Packet
• ISB Packet
• Vendor Packet
• Account Authorization
• Delegation of Budget Authority

State and Federal Forms

• Iowa W-4
• Federal W-4
• W-9
• I-9
  - I-9 Instructions

User Guides

• How Members View Employee Pay Rates
• Website Tutorial
• Employee Electronic Check Stub
• Vendor/ISB Electronic Check Stub
• ISB Online
• Secure Email

Web Report Instructions

• Check Register Detail
• Note Report
• Account Statement
• Timesheet
• Payroll Detail
• Pending Payroll

Tools

• Employer Payroll Calculator

General Information

• 2023 Payment Schedule
• Electronics Services
• Roles and Responsibilities
• Background Check Process Q & A
• Enrollment Process Workflow
• Enrollment EVV Important Info
• Enrollment Non-EVV Important Info
• Electronic and Copied Signature Guidelines
• Privacy Policy

Electronic Visit Verification (EVV)

• Electronic Visit Verification