Our Care Partners - Fiscal Agents

Under Virginia’s Consumer-Directed model, care recipients may select their own attendants. A state-approved fiscal agent handles all payroll, taxes, and employment processing for these caregivers. Our agency, Virginia Consumer-Directed Services, provides service facilitation to help manage care, ensure compliance, maintain funding streams for care and support families throughout the process.

Function of the Fiscal Agents

A fiscal agent is a state-approved organization that:

Processes timesheets and issues paychecks to attendants (caregivers) hired by the Medicaid recipient or their authorized representative, usually the Employer of Record (EOR).
Manages all tax withholdings, unemployment, worker’s compensation, and payroll compliance on behalf of the client.
Ensures the attendant meets eligibility standards through background checks, I-9 verification, and proper enrollment documentation.

Fiscal Agent Function vs. VACDS Function

Consumer-Direct Care Network of Virginia (CDCN) & Public Partnerships, LLC (PPL) function as the fiscal agents for Medicaid members who opt into Consumer-Directed Personal Care or Respite Care services.

While our agency provides Service Facilitation, it's the fiscal agents who:

Pays attendants for services rendered
Verifies and process the hours worked
Handles employment documentation
Client onboarding documentation
Ensures Medicaid billing compliance

Consumer Direct Care Network of Virginia

Public Partnerships, LLC

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