Facilitator
Helps develop and monitor your plan of care
Provides education and ongoing support
Conducts required home visits
Monitors Medicaid compliance
Answers questions about your services
Fiscal Agent
Processes payroll and employment paperwork
Handles tax reporting and payroll administration
Pays caregivers
Maintains employment records
​Answers payroll and employment-related questions
​​​
The Fiscal Employer Agent helps by:
-
Processing caregiver payroll
-
Withholding and paying required payroll taxes
-
Issuing W-2 tax forms
-
Processing new caregiver employment paperwork
-
Conducting required background checks
-
Maintaining employment records
-
Tracking authorized service hours
-
Providing electronic visit verification (EVV) tools when required
-
Helping ensure Medicaid payroll requirements are met
Their role is to simplify the employer responsibilities so you can focus on directing your care.
​
How Is the Fiscal Agent Different from a Service Facilitator?
Although they work together, they have different responsibilities.
​
​
​
​
​
​
​
​
​
​​​​​​​​​Together, they help ensure your Consumer-Directed Services run smoothly.
​
Which Fiscal Employer Agent Will I Use?
Your Fiscal Employer Agent is determined by your Medicaid coverage and Managed Care Organization (MCO).​ The two Fiscal Employer Agents serving Virginia's Consumer-Directed Services program are:
Consumer Direct Care Network Virginia (CDCN) and Public Partnerships LLC (PPL).
We're Here to Help
As your Service Facilitation agency, we work closely with your assigned Fiscal Employer Agent throughout the Consumer-Directed Services process. Whether you have questions about enrollment, caregiver requirements, Medicaid policies, or coordinating with your Fiscal Agent, we're here to guide you every step of the way.
​
​
Fiscal Agent:
Supporting the Administrative Side of Consumer-Directed Services
Choosing your own caregiver gives you greater control over your care—but it also comes with employer responsibilities. That's where the Fiscal Employer Agent (F/EA) comes in.
The Fiscal Employer Agent is responsible for handling the employment and payroll functions of the Consumer-Directed Services program. While you remain the Employer of Record and direct your caregiver's day-to-day work, the Fiscal Agent manages many of the administrative tasks required by Medicaid.