{"text_format":"2","workbook":"xlsx","n_sheets":2,"sheets":["Timesheet","List Info"],"not_rendered":{"charts":0,"images":1,"macros":0,"external_links":0,"defined_names":2,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"run_cost":"one","rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Timesheet","index":0,"n_rows":39,"n_cols":33,"rows_kept":39,"cut":false,"hidden":false,"merged":[[18,1,18,2],[19,1,19,2],[20,1,20,2],[21,1,21,2],[11,17,11,18],[12,17,12,18],[13,17,13,18],[14,17,14,18],[15,17,15,18],[18,16,18,18],[20,11,20,14],[21,11,21,14],[19,11,19,14],[18,11,18,14],[0,2,0,18],[1,1,4,3],[1,4,1,5],[1,6,1,11],[1,12,1,18],[2,6,2,11],[2,12,2,18],[3,4,4,5],[3,6,4,11],[3,12,3,18],[4,12,4,18],[6,3,6,7],[10,1,10,2],[10,11,10,14],[10,16,10,18],[9,4,9,9],[9,16,9,18],[6,14,6,16],[7,1,8,13],[35,8,35,12],[23,11,23,14],[24,11,24,14],[24,16,24,18],[27,10,27,12],[27,2,27,9],[23,1,23,2],[24,1,24,2],[34,3,34,6],[34,8,34,12],[25,16,34,18],[25,3,25,9],[28,2,33,12],[22,11,22,14],[22,1,22,2],[17,11,17,14],[11,11,11,14],[12,11,12,14],[13,11,13,14],[14,11,14,14],[15,11,15,14],[16,11,16,14],[11,1,11,2],[12,1,12,2],[13,1,13,2],[14,1,14,2],[15,1,15,2],[16,1,16,2],[17,1,17,2]]}
[null,null,"Bi-Weekly                                           *You may email  timesheets to cds@cdsintexas.com or reference the pay schedule for the appropriate fax number to send in your timesheet (Click Here For Reference Link)"]
[{"$nulls":4},"Consumer Name:                                                                                                                                                            ",{"$nulls":7},"Program Selection (Click to Select)"]
[{"$nulls":4},"Employer Name:"]
[{"$nulls":4},"Service Provider Name:",{"$nulls":7},"Type of Service (Click to Select)"]
[]
[{"$nulls":18},"Year"]
[null,null,null,"Tasks were performed according to the Plan of Care? ",{"$nulls":5},"(Click to Select)",{"$nulls":8},2026]
[null,{"$f":"VLOOKUP(M5,'List Info'!C2:D12,2,FALSE)","v":{"$error":"#N/A"}},{"$nulls":12},"Select Pay Period",null,1]
[]
[{"$nulls":4},"**USE 24 HOUR TIME:  8:00 A.M OR 20:00 FOR 8:00 P.M."]
[null,"Day",null,"Date","TIME IN","TIME OUT","TIME IN ","TIME OUT","TIME IN ","TIME OUT","TOTAL TIME","COMMENTS / NARRATIVE",{"$nulls":4},"Employee Benefit",{"$nulls":6},"End","Due","Due","Day Date","PP Number","Year","End","Due","Pay date"]
[null,{"$f":"TEXT(D12,\"DDDD\")","v":"Sunday"},null,{"$f":"IF(VLOOKUP(Q$8,'List Info'!B$17:F$68,4,FALSE)=43085,43086,VLOOKUP(Q$8,'List Info'!B$17:F$68,4,FALSE))","v":"2025-12-07"},{"$nulls":6},{"$f":"MOD(F12-E12,1)*24 + MOD(H12-G12,1)*24 + MOD(J12-I12,1)*24","v":0},{"$nulls":6},"Vacation Hours",null,null,null,1,2018,"2017-12-17","2017-12-30","1/1/2018","1/12/2018",15,2017,"2017-07-02","2017-07-15","7/17/2017","7/28/2017"]
[null,{"$f":"TEXT(D13,\"DDDD\")","v":"Monday"},null,{"$f":"D12+1","v":"2025-12-08"},{"$nulls":6},0,{"$nulls":6},"Sick Hours",null,null,null,2,2018,"2017-12-31","2018-01-13","2018-01-15","1/26/2018",16,2017,"2017-07-16","2017-07-29","7/31/2017","8/11/2017"]
[null,"Tuesday",null,{"$f":"D13+1","v":"2025-12-09"},{"$nulls":6},0,{"$nulls":6},"Holiday Hours",null,null,null,3,2018,"2018-01-14","2018-01-27","2018-01-29","2/9/2018",17,2017,"2017-07-30","2017-08-12","8/14/2017","8/25/2017"]
[null,"Wednesday",null,"2025-12-10",{"$nulls":6},0,{"$nulls":6},"Bonus",null,null,null,4,2018,"2018-01-28","2018-02-10","2018-02-12","2/23/2018",18,2017,"2017-08-13","2017-08-26","8/28/2017","9/8/2017"]
[null,"Thursday",null,"2025-12-11",{"$nulls":6},0,{"$nulls":6},"Other Hours",null,null,null,5,2018,"2018-02-11","2018-02-24","2018-02-26","3/9/2018",19,2017,"2017-08-27","2017-09-09","9/11/2017","9/22/2017"]
[null,"Friday",null,"2025-12-12",{"$nulls":6},0,{"$nulls":10},6,2018,"2018-02-25","2018-03-10","2018-03-12","3/23/2018",20,2017,"2017-09-10","2017-09-23","9/25/2017","10/6/2017"]
[null,"Saturday",null,"2025-12-13",{"$nulls":6},0,{"$nulls":10},7,2018,"2018-03-11","2018-03-24","2018-03-26","4/6/2018",21,2017,"2017-09-24","2017-10-07","10/9/2017","10/20/2017"]
[null,{"$f":"TEXT(D19,\"DDDD\")","v":"Sunday"},null,"2025-12-14",{"$nulls":6},0,{"$nulls":5},"FMSA Agency Only ",{"$nulls":4},8,2018,"2018-03-25","2018-04-07","2018-04-09","4/20/2018",22,2017,"2017-10-08","2017-10-21","10/23/201","11/3/2017"]
[null,{"$f":"TEXT(D20,\"DDDD\")","v":"Monday"},null,"2025-12-15",{"$nulls":6},0,{"$nulls":5},"Date Processed:",{"$nulls":4},9,2018,"2018-04-08","2018-04-21","2018-04-23","5/4/2018",23,2017,"2017-10-22","2017-11-04","11/6/2017","11/17/2017"]
[null,"Tuesday",null,"2025-12-16",{"$nulls":6},0,{"$nulls":10},10,2018,"2018-04-22","2018-05-05","2018-05-07","5/18/2018",24,2017,"2017-11-05","2017-11-18","11/20/2017","12/1/2017"]
[null,"Wednesday",null,"2025-12-17",{"$nulls":6},0,{"$nulls":5},"By Whom:",{"$nulls":4},11,2018,"2018-05-06","2018-05-19","2018-05-21","6/1/2018",25,2017,"2017-11-19","2017-12-02","12/4/2017","12/15/2017"]
[null,"Thursday",null,"2025-12-18",{"$nulls":6},0,{"$nulls":10},12,2018,"2018-05-20","2018-06-02","2018-06-04","6/15/2018",26,2017,"2017-12-03","2017-12-16","12/18/2017","12/29/2017"]
[null,"Friday",null,"2025-12-19",{"$nulls":6},0,{"$nulls":10},13,2018,"2018-06-03","2018-06-16","2018-06-18","6/29/2018"]
[null,"Saturday",null,"2025-12-20",{"$nulls":6},0,{"$nulls":5},"FMSA Comments",{"$nulls":4},14,2018,"2018-06-17","2018-06-30","2018-07-02","7/13/2018"]
[null,null,null,"Total Payroll / Pay Period Hours Delivered:",{"$nulls":6},{"$f":"SUM(K12:K25)","v":0},{"$nulls":10},15,2018,"2018-07-01","2018-07-14","2018-07-16","7/27/2018"]
[]
[null,null,"Was the consumer hospitalized or in an medical care facility during this pay period? Please list dates:",{"$nulls":11},"Timesheet Due",{"$nulls":6},16,2018,"2018-07-15","2018-07-28","2018-07-31","8/10/2018"]
[null,null,"Employer and Employee here by certify that the work hours listed above are accurate, that the services provided are in accordance with the current tasks authorized and the services were NOT provided while the consumer was in the hospital, nursing home, or the Medicaid-reimbursed healthcare facility. I understand that falsification of this time sheet is considered Medicaid Fraud, and may result in dismissal from the program and criminal prosecution. ",{"$nulls":11},{"$f":"IF(D25=43098,D25+3,D25+2)","v":"2025-12-22"},{"$nulls":6},17,2018,"2018-07-29","2018-08-11","2018-08-13","8/24/2018"]
[{"$nulls":21},18,2018,"2018-08-12","2018-08-25","2018-08-27","9/7/2018"]
[{"$nulls":21},19,2018,"2018-08-26","2018-09-08","2018-09-10","9/21/2018"]
[{"$nulls":21},20,2018,"2018-09-09","2018-09-22","2018-09-24","10/5/2018"]
[{"$nulls":14},"Pay Date",{"$nulls":6},21,2018,"2018-09-23","2018-10-06","2018-10-08","10/19/2018"]
[{"$nulls":21},22,2018,"2018-10-07","2018-10-20","2018-10-22","11/2/2018"]
[{"$nulls":14},{"$f":"SUM(O29)+11","v":"2026-01-02"},{"$nulls":6},23,2018,"2018-10-21","2018-11-03","2018-11-05","11/16/2018"]
[null,null,null,"Service Provider Signature",null,null,"Date",null,"Employer or DR Signature                        Date                    ",{"$nulls":12},24,2018,"2018-11-04","2018-11-17","2018-11-19","11/30/2018"]
[{"$nulls":21},25,2018,"2018-11-18","2018-12-01","2018-12-03","12/14/2018"]
[{"$nulls":21},26,2018,"2018-12-02","2018-12-15","2018-12-17","12/28/2018"]
[{"$nulls":21},1,2019,"2018-12-16","2018-12-29","2018-12-31","1/11/2019"]

{"sheet":"List Info","index":1,"n_rows":68,"n_cols":15,"rows_kept":68,"cut":false,"hidden":true,"merged":[[14,2,14,5],[15,1,15,2],[15,3,15,5],[31,9,32,21]]}
[null,null,"Service","Label"]
[null,"CLASS","HAB      ","Form 1722 - Option 2 and Option 3 Timesheet Only",null,"Yes",{"$nulls":8},1]
[null,"TxHml    ","PAS","Form 1722 - Option 2 and Option 3 Timesheet Only",null,"No",{"$nulls":8},2]
[null,"PHC","PAS/HAB","Form 1722 - Option 2 and Option 3 Timesheet Only",{"$nulls":10},3]
[null,"DBMD","RESPITE","Form 1722 - Option 2 and Option 3 Timesheet Only",{"$nulls":5},2026,{"$nulls":4},4]
[null,"STAR Plus","LVN/RN - (Non-EVV)","Non-EVV ServiceTimesheet",{"$nulls":10},5]
[null,"STAR Kids(MDCP)","Protective Supervision","Form 1722 - Option 2 and Option 3 Timesheet Only",{"$nulls":10},6]
[null,"STAR Kids(PCS)","Intervener - (Non-EVV)","Non-EVV ServiceTimesheet",{"$nulls":10},7]
[null,"HCS","Intervener I - (Non-EVV)","Non-EVV ServiceTimesheet",{"$nulls":10},8]
[null,"Private Pay - (Non-EVV)","Intervener II - (Non-EVV)","Non-EVV ServiceTimesheet",{"$nulls":10},9]
[null,null,"Intervener III - (Non-EVV)","Non-EVV ServiceTimesheet",{"$nulls":10},10]
[null,null,"Transportation - (Non-EVV)","Non-EVV ServiceTimesheet",{"$nulls":10},11]
[{"$nulls":14},12]
[null,null,null,"Selected Year:",2026,{"$nulls":9},13]
[{"$f":"Timesheet!Q8","v":1},{"$f":"IF(A15=26,1,A15)","v":1},{"$f":"\"Current Pay Period: \"&VLOOKUP(\"Current →\",A17:B68,2,FALSE)&\"  -  \"&VLOOKUP(\"Current →\",A17:C68,3,FALSE)","v":{"$error":"#N/A"}},{"$nulls":11},14]
[null,"Bi-Weekly Payroll Schedule",null,"Bi-Weekly Start and End Dates",{"$nulls":10},15]
[{"$f":"IF(AND(TODAY()<=F17,TODAY()>=E17),\"Current →\",\"\")","v":""},{"$f":"IF(A$15>D17,\"\",D17)","v":1},{"$f":"MONTH(E17)&\"/\"&DAY(E17)&\" to \"&MONTH(F17)&\"/\"&DAY(F17)","v":"12/7 to 12/20"},1,"2025-12-07",{"$f":"E17+13","v":"2025-12-20"},{"$nulls":8},16]
[{"$f":"IF(AND(TODAY()<=F18,TODAY()>=E18),\"Current →\",\"\")","v":""},2,"12/21 to 1/3",2,{"$f":"F17+1","v":"2025-12-21"},{"$f":"E18+13","v":"2026-01-03"},{"$nulls":8},17]
["",3,"1/4 to 1/17",3,{"$f":"F18+1","v":"2026-01-04"},{"$f":"E19+13","v":"2026-01-17"},{"$nulls":8},18]
["",4,"1/18 to 1/31",4,{"$f":"F19+1","v":"2026-01-18"},{"$f":"E20+13","v":"2026-01-31"},{"$nulls":8},19]
["",5,"2/1 to 2/14",5,"2026-02-01","2026-02-14",{"$nulls":8},20]
["",6,"2/15 to 2/28",6,"2026-02-15","2026-02-28",{"$nulls":8},21]
["",7,"3/1 to 3/14",7,"2026-03-01","2026-03-14",{"$nulls":8},22]
["",8,"3/15 to 3/28",8,"2026-03-15","2026-03-28",null,null,1,"2017-12-16","2017-12-30","01/01/18","1/12/2018",null,23]
["",9,"3/29 to 4/11",9,"2026-03-29","2026-04-11",{"$nulls":8},24]
["",10,"4/12 to 4/25",10,"2026-04-12","2026-04-25",{"$nulls":8},25]
["",11,"4/26 to 5/9",11,"2026-04-26","2026-05-09",{"$nulls":8},26]
["",12,"5/10 to 5/23",12,"2026-05-10","2026-05-23"]
["",13,"5/24 to 6/6",13,"2026-05-24","2026-06-06",null,null,null,"Form 1722 - Option 2 and Option 3 Timesheet Only"]
["",14,"6/7 to 6/20",14,"2026-06-07","2026-06-20"]
["",15,"6/21 to 7/4",15,"2026-06-21","2026-07-04"]
["",16,"7/5 to 7/18",16,"2026-07-05","2026-07-18",null,null,null,"Non-EVV ServiceTimesheet"]
["",17,"7/19 to 8/1",17,"2026-07-19","2026-08-01"]
["",18,"8/2 to 8/15",18,"2026-08-02","2026-08-15"]
["",19,"8/16 to 8/29",19,"2026-08-16","2026-08-29"]
["",20,"8/30 to 9/12",20,"2026-08-30","2026-09-12"]
["",21,"9/13 to 9/26",21,"2026-09-13","2026-09-26"]
["",22,"9/27 to 10/10",22,"2026-09-27","2026-10-10"]
["",23,"10/11 to 10/24",23,"2026-10-11","2026-10-24"]
["",24,"10/25 to 11/7",24,"2026-10-25","2026-11-07"]
["",25,"11/8 to 11/21",25,"2026-11-08","2026-11-21"]
["",26,"11/22 to 12/5",26,"2026-11-22","2026-12-05"]
["",{"$f":"IF(B17=\"\",D43,\"\")","v":""},"12/6 to 12/19",1,"2026-12-06","2026-12-19"]
["","","12/20 to 1/2",2,"2026-12-20","2027-01-02"]
["","","1/3 to 1/16",3,"2027-01-03","2027-01-16"]
["","","1/17 to 1/30",4,"2027-01-17","2027-01-30"]
["","","1/31 to 2/13",5,"2027-01-31","2027-02-13"]
["","","2/14 to 2/27",6,"2027-02-14","2027-02-27"]
["","","2/28 to 3/13",7,"2027-02-28","2027-03-13"]
["","","3/14 to 3/27",8,"2027-03-14","2027-03-27"]
["","","3/28 to 4/10",9,"2027-03-28","2027-04-10"]
["","","4/11 to 4/24",10,"2027-04-11","2027-04-24"]
["","","4/25 to 5/8",11,"2027-04-25","2027-05-08"]
["","","5/9 to 5/22",12,"2027-05-09","2027-05-22"]
["","","5/23 to 6/5",13,"2027-05-23","2027-06-05"]
["","","6/6 to 6/19",14,"2027-06-06","2027-06-19"]
["","","6/20 to 7/3",15,"2027-06-20","2027-07-03"]
["","","7/4 to 7/17",16,"2027-07-04","2027-07-17"]
["","","7/18 to 7/31",17,"2027-07-18","2027-07-31"]
["","","8/1 to 8/14",18,"2027-08-01","2027-08-14"]
["","","8/15 to 8/28",19,"2027-08-15","2027-08-28"]
["","","8/29 to 9/11",20,"2027-08-29","2027-09-11"]
["","","9/12 to 9/25",21,"2027-09-12","2027-09-25"]
["","","9/26 to 10/9",22,"2027-09-26","2027-10-09"]
["","","10/10 to 10/23",23,"2027-10-10","2027-10-23"]
["","","10/24 to 11/6",24,"2027-10-24","2027-11-06"]
["","","11/7 to 11/20",25,"2027-11-07","2027-11-20"]
["","","11/21 to 12/4",26,"2027-11-21","2027-12-04"]