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It also explains Public Partnerships LLC’s role as a Financial Management Service provider, while the CDASS member or authorized representative acts as the legal employer of record.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/attendant-enrollment-and-agreement-form-colorado-cdass/388873/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/attendant-enrollment-and-agreement-form-colorado-cdass/388873.png","ImageObject",300,407,{"name":42,"@type":43},"RuangKosong","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-25",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of the Attendant Enrollment and Agreement Form in CDASS?","Question",{"text":63,"@type":64},"It records who is applying to be the member’s attendant and confirms agreement to carry out attendant duties under the CDASS program and Medicaid requirements.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What qualifications must a CDASS attendant meet before being hired?",{"text":68,"@type":64},"A CDASS attendant must be at least 16, pass required background checks, be allowed to work in the United States, have a valid U.S. Social Security number, and meet all CDASS program requirements, including role restrictions regarding acting as the member’s authorized representative.",{"name":70,"@type":61,"acceptedAnswer":71},"What is Public Partnerships LLC’s role versus the CDASS employer’s role?",{"text":72,"@type":64},"Public Partnerships LLC acts as a Financial Management Service provider and performs tasks on behalf of the employer, such as managing enrollment and processing timesheets and pay. The CDASS member or their authorized representative is the legal Employer of Record and must ensure the attendant understands employment responsibilities under CDASS and Medicaid rules.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},388873,1791001257,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":140,"language":141,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":12,"update_tm":145,"read_time":146,"preview_page_count":4},962090883219,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Attendant Enrollment and Agreement Form  \nThis form is required for Health First Colorado (Colorado’s Medicaid program) members in the Colorado Consumer-Directed Attendant Support Services (CDASS) program to hire an attendant with Public Partnerships LLC (PPL) . This form is used to tell PPL who is applying to be the member’s attendant and that they agree to fulfill their duties.  \nInstructions: Attendant and employer, complete the form and sign the last page.  \nEmployer Name (first and last):  \nMember Name (first and last):  \nPPL ID:   Attendant Information  \nName (first, middle and last):  \n_____________________________________________________  \nDate of Birth:    \nMaiden or Previous Last Name:  \nSocial Security Number:   Relationship to the member (check one):  \n☐ Spouse ☐ Parent ☐ Other Relative ☐ Non-Relative  \nPhysical Address (where you live)  \nAddress (not PO Box):  \nAddress 2 (Apt. , Ste. , or other):  \n_____________________________________________________  \nCity:    \nState:    \nZip Code:    \nCounty:    \n☐ Check the box if the address where you live is the same as your mailing address. If it is not, complete the Mailing Address section below.  \nMailing Address  \nAddress (not PO Box):  \nAddress 2 (Apt. , Ste. , or other):  \n_____________________________________________________  \nCity:    \nState:    \nZip Code:    \nCounty:     \nContact Details (an email and phone number are required)  \nEmail:  \n_____________________________________________________  \nCell phone:    \nHome or other phone:   Primary language:  \n_____________________________________________________  \nPreferred Contact Method:  \n☐ Email ☐ Cell Phone ☐ Home Phone ☐ Mail  \nBest Contact Times:  \nDo you want PPL to text you? Carrier charges may apply.  \n☐ Yes ☐ No  \nQualifying as an Attendant  \nA CDASS attendant must meet certain qualifications before they can be hired. An attendant must:  \n• Be at least 16 years of age,  \nColorado CDASS Attendant Enrollment and Agreement Form  \nV.3 , June 2026 Page 3 of 14  \n• Pass a background check,  \n• Be allowed to work in the United States,  \n• Have a valid U.S. Social Security Number,  \n• Be able to care for the member to their or their Authorized Representative’s (AR) satisfaction,  \n• Not serve as the member’s AR at the same time that they are an attendant, and  \n• Fulfill all CDASS program requirements.  \nA CDASS attendant who is the spouse of the member or the parent or legal guardian of a minor member, is considered a Legally Responsible Person (LRP) . CFC limits the number of homemaker hours an attendant can provide . An attendant who is an LRP is limited to providing 364 hours per year, or 7 hours per week, of the LRP Homemaker service per member .  \nRole of Public Partnerships LLC  \nPPL is a Financial Management Service (FMS) provider using a Fiscal/Employer Agent model. As such, PPL is not the attendant’s employer. The CDASS member or their AR is the legal Employer of Record. However, PPL completes tasks on behalf of the employer, such as:  \n• Managing the attendant enrollment process,  \no PPL helps the employer collect attendant information needed to complete employment forms required by Federal and state law, and the rules of the CDASS program,  \n• Ensuring that attendants are qualified to work in the CDASS program,  \n• Processing attendant timesheets ,  \n• Applying attendant payroll garnishments,  \nColorado CDASS Attendant Enrollment and Agreement Form  \nV.3 , June 2026 Page 4 of 14  \n• Paying attendants,  \no PPL uses attendant bank account numbers only to process paychecks and garnishments (if applicable) on behalf of the CDASS employer,  \no PPL will process my paychecks only after my employer approves my timesheets,  \n• Collecting and sending payroll taxes to the federal and state government, and  \n• Contacting attendants regarding employment or program issues, as needed, using the contact information provided by phone, text message (if opted-in), email, and/or regular mail.  \nCDASS Employer Role  \nTo self-dire","cbCaibrAsAEuiTBw","https://ap.wps.com/l/cbCaibrAsAEuiTBw","pdf",251011,14,"English","# Attendant Enrollment and Agreement Form\n## Instructions and Key Parties\n## Attendant Information\n## Qualifying as an Attendant\n## Role of Public Partnerships LLC\n## CDASS Employer Role\n## CDASS Attendant Duties\n## Background Check and Enrollment with PPL","[{\"question\":\"What is the purpose of the Attendant Enrollment and Agreement Form in CDASS?\",\"answer\":\"It records who is applying to be the member’s attendant and confirms agreement to carry out attendant duties under the CDASS program and Medicaid requirements.\"},{\"question\":\"What qualifications must a CDASS attendant meet before being hired?\",\"answer\":\"A CDASS attendant must be at least 16, pass required background checks, be allowed to work in the United States, have a valid U.S. Social Security number, and meet all CDASS program requirements, including role restrictions regarding acting as the member’s authorized representative.\"},{\"question\":\"What is Public Partnerships LLC’s role versus the CDASS employer’s role?\",\"answer\":\"Public Partnerships LLC acts as a Financial Management Service provider and performs tasks on behalf of the employer, such as managing enrollment and processing timesheets and pay. The CDASS member or their authorized representative is the legal Employer of Record and must ensure the attendant understands employment responsibilities under CDASS and Medicaid rules.\"}]","Attendant Enrollment and Agreement Form - Colorado CDASS | PDF",1790311065,35]