Fiscal Management. The F/EA manages funds allocated for services under the Medicaid waiver. This includes processing payments to consumer directed attendants (making sure your attendants are paid) ensuring compliance with budgetary guidelines and overseeing financial transactions.

Enrollment Services.  Management of enrollment for EORs and attendants ~ assisting the EOR and attendant with the enrollment process. Handle the EOR request for an employer identification number.  Processes attendant employment and tax-related documents.  Submission of criminal background checks for each attendant. Answer all questions that the EOR or attendant may have about payroll and services.

Payroll Services.  The F/EA performs payroll activities on behalf of the EOR for employees hired by individuals or families utilizing self-directed services. This involves calculating wages, withholding taxes, and ensuring employees are paid accurately and on time (every 2 weeks) with the receipt of fully completed and approved timesheet.  The F/EA will also issue W-2 Statements to each attendant every January. 

Employer Responsibilities.  As the Fiscal Employer Agent, the F/EA takes on all payroll and tax responsibilities from the Employer of Record on behalf of participants who self-direct their services. This includes adhering to labor laws, and maintaining necessary employment records, filing and reporting the proper tax documentation. The F/EA will also provide quarterly reports to the EOR showing services used and services remaining. The responsibilities taken by the F/EA from the EOR, leave the EOR only with the ability to interview, hire, train and if necessary, fire an attendant.

Compliance Oversight. The F/EA ensures that all financial practices comply with federal and state regulations associated with Medicaid funding, helping avoid issues like fraud or misuse of funds.   The FEA calculates withholdings and deposit of State and Federal Income Tax, Medicare, Social Security and unemployment taxes for attendants to maintain tax compliance. File monthly, quarterly, and annual forms and tax deposits with State and Federal agencies.

Support Coordination.  For the CCC+ Waiver, the Managed Care Organization (MCO) contracts with the F/EA to ensure that payment to the attendant is accurate based upon the approved plan of care (service authorization) and timesheets that have been approved by the EOR. For the DD Waiver, DMAS contracts with the F/EA to ensure that payment to the attendant is accurate based upon the approved plan of care (service authorization) and timesheets that have been approved by the EOR.