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CCO Forms & Resources

Packets & Forms

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

Resources

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
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