What is a Fiscal Intermediary for CDPAP

February 09, 2023   832

---

What is a Fiscal Intermediary (FI)?

A Fiscal Intermediary (FI) is an entity contracted by a social services district or managed care organization to handle wage and benefit processing for consumer-directed personal assistants and to perform essential administrative responsibilities under the CDPAP program.

---

ProLife’s Responsibilities as a Fiscal Intermediary for the CDPAP Program

As a Fiscal Intermediary, ProLife Home Care fulfills the following responsibilities:

1. Wage and Benefit Processing:

   • Establishing wage amounts for each personal assistant.
   • Handling tax withholdings and ensuring compliance with workers' compensation, disability, and unemployment insurance requirements.

2. Health Assessment of Personal Assistants:

   • Ensuring the health status of each assistant is evaluated before they begin service, as required by 10 NYCRR § 766.11(c) and (d).

3. Documentation and Record Maintenance:

   • Maintaining personnel records, including timesheets and medical documentation required by law.
   • Keeping records of each consumer, including the authorization or reauthorization from social services.

4. Monitoring Consumer Responsibilities:

   • Assessing whether the consumer or their designated representative can continue fulfilling their responsibilities under the CDPAP program.
   • Notifying the social services district promptly if any circumstances arise that could affect the consumer’s ability to manage responsibilities.

5. Compliance with Regulatory Requirements:

   • Following all provider responsibilities outlined in 18 NYCRR § 504.3 or any successor regulations.
   • Entering into contracts with social services districts to deliver Fiscal Intermediary services.

6. Information Sharing with Consumers:

   • Providing clear guidance to consumers and their representatives regarding their responsibilities and requirements within the CDPAP program to ensure compliance.

---

How to Get Started with ProLife Home Care

ProLife Home Care is committed to providing high-quality services under the CDPAP program. If you have any questions or need further information, contact us at (718) 232-2777 or email us at team@prolifehc.com to discuss how we can assist with your in-home care needs.