📅 UPDATED MAY 1, 2025 — PLEASE READ CAREFULLY
Silver Home Care
EIN 81-2847306
As a Community Health Choices provider, Silver Home Care is required by law to collect time and attendance data through Electronic Visit Verification (EVV) for all Community HealthChoices visits. Therefore:
Employees must clock in and out using one of the following approved EVV methods:
✅ HHAeXchange mobile app, or
✅ HHA Exchange IVR at 888-206-5826 (from the client's landline phone)
This Missed Punch Form is not a substitute for EVV and may only be used in the following situations:
⚠️ If the app doesn't work, you must attempt to use the client's authorized landline phone to access the IVR. If you do not know your IVR code, call the office and we will provide it.
❌ Do not use your personal phone or the client's cell phone to call the IVR.
⚠️ If the client has no landline or does not give you permission to use it, or neither method is successful, you must document the reason for both failures on this form.
📞 It is imperative that you call the office immediately to report the issue in real time.
✅ If the issue is reported and verified, it will not count against your EVV compliance rate.
✅ You must still clock in and out using the HHAeXchange mobile app from the off-site location.
📝 You must also complete this form to document the details of the off-site visit.
Effective May 1st, a client signature is required on all Missed Punch Forms.
✅ The signature must be provided by the authorized individual on file — sometimes that's the client, other times it's a representative.
📞 When you call to report the missed punch, we'll let you know who should sign.
⚠️ If that person is not present, Silver Home Care will follow up to get the signature. This may delay payment of the visit.
To be approved for payment, a visit must include all of the following:
✅ Clock-in and clock-out punches
✅ Task codes entered at the time of service
✅ Required signatures
❌ If any of these elements are missing, the visit will not be approved for payment.
🚨 EVV compliance is mandatory.
📞 If you experience a technical issue or are unsure what to do, call the office immediately. We're here to help — but issues must be reported in real time.
Select ALL that apply
Important: This form cannot be submitted before the end time. It must be completed after your shift ends.
Select all tasks performed during this visit
Employee Certification:
By signing below, I certify that the information provided on this form is accurate and complete. I understand that falsifying time records is a serious offense that may result in disciplinary action, up to and including termination.
Client or Authorized Representative:
By signing below, I confirm that the employee named above provided services at my home on the date and times indicated.
Document Version 1.0 | Effective May 1, 2025
Silver Home Care | 12 Penns Trail, Newtown, PA 18940 | (800) 719-6912 | [email protected]
