What is a Fiscal Intermediary for CDPAP
February 09, 2023 374
What is a Fiscal Intermediary (FI)?
An entity that has a contract with a social services district or managed care organization to provide wage and benefit processing for consumer directed personal assistants and to perform the fiscal intermediary responsibilities specified.
What Are ProLife’s Requirements As A Fiscal Intermediary for the CDPAP Program?
Fiscal intermediaries have the following responsibilities with respect to the CDPAP:
- Processing each consumer directed personal assistant's wages and benefits including establishing the amount of each assistant's wages; processing all income tax and other required wage withholdings; and complying with worker's compensation, disability and unemployment insurance requirements;
- Ensuring that the health status of each consumer directed personal assistant is assessed prior to service delivery pursuant to 10 NYCRR § 766.11(c) and (d) or any successor regulation;
- Maintaining personnel records for each consumer directed personal assistant, including time sheets and other documentation needed for wages and benefit processing and a copy of the medical documentation required pursuant to 10 NYCRR § 766.11(c) and (d) or any successor regulation;
- Maintaining records for each consumer including copies of the social services district's authorization or reauthorization;
- Monitoring the consumer's or, if applicable, the consumer's designated representative's continuing ability to fulfill the consumer's responsibilities under the program and promptly notifying the social services district of any circumstance that may affect the consumer's or, if applicable, the consumer's designated representative's ability to fulfill such responsibilities;
- Complying with the Department 's regulations at 18 NYCRR §504.3, or any successor regulation, that specify the responsibilities of providers enrolled in the medical assistance program;
- Entering into a contract with the social services district for the provision of fiscal intermediary services; and
- Sharing information with the consumer or, if applicable, the consumer's designated representative, regarding their respective responsibilities and requirements under the CDPAP.