For services provided April 1st, 2015 forward, Personal Support Worker Domestic Employees are required to use the new state timesheet. You may obtain a copy of the timesheet (or Services Delivered Report) here: Plan of Care Services Delivered Reporting Form (Blank)

Additionally, you must use the state’s new Miles Driven Report to record mileage you would like reimbursed.

PSW-Independent Contractors may continue to use their own invoices provided they have all elements listed in the Oregon state transmittal APD-AR-14-073.