Person Centered
Care Services

Fiscal Intermediary

People who choose self-directed supports often choose the services, staff, and organizations that provide them, and the schedule that works best for them. Those we serve are able to manage their very own budget and staff with help from our Fiscal Intermediary team who provide administrative services and billing supports to ensure a successful self-directed experience. 


The Fiscal Intermediary’s responsibilities include, but are not limited to: completing background checks for self-hired staff; billing Medicaid or New York State for services in the budget; paying staff; tracking expenditures; providing monthly statements.


Self-Direction provides those we serve the opportunity to make decisions about supports and services that help them enjoy meaningful relationships with family and friends, experience health and growth, live in the home and community they choose, and work, volunteer or do activities they enjoy.


See FAQs about Fiscal Intermediary

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