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Fiscal Intermediaries (FMS)

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  • Last verified Oct 20, 2026
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Massachusetts: Tempus Unlimited (MassHealth PCA Program); Acumen Fiscal Agent (DDS Participant Directed Program)

Program: MassHealth PCA Program and DDS Participant Directed Program (PDP)

Tempus Unlimited is the Fiscal Intermediary for the MassHealth PCA Program: it processes EVV PCA activity forms, pays PCAs, files taxes, buys workers' compensation and issues W-2s. Timesheets go by eTimesheet, fax (800) 359-2884 or mail. For the DDS Participant Directed Program, DDS contracts with Acumen Fiscal Agent; Acumen MA PDP customer service handles login support, timesheets (DCI platform), paychecks and enrollment status.

Phone listed on the official source: Tempus (877) 479-7577; Acumen MA PDP (866) 427-1739

Official state or agency page · Second official source · Vendor's official site

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Maryland: GT Independence, Public Partnerships LLC (PPL) and Fello (DDA Financial Management and Counseling Services)

Program: DDA self-directed services (Family Supports, Community Supports and Community Pathways waivers)

Participants who self-direct choose one of three Financial Management and Counseling Services providers. They check worker requirements, pay employees and vendors, send budget statements and handle tax reporting. Monthly fees for July 2026 to June 2027: GT Independence $123, PPL $93.42, Fello $220, paid from the self-directed budget.

Official state or agency page

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Colorado: Palco and Public Partnerships LLC (PPL) for CDASS; Consumer Direct Colorado is the training and support contractor

Program: CDASS (Consumer-Directed Attendant Support Services)

CDASS members choose Palco or PPL as their FMS, which hires and pays attendants, handles taxes and tracks spending. Members can switch FMS quarterly (by March, June, September or December 16, paperwork due the 1st). Consumer Direct Colorado provides training, not payroll.

Phone listed on the official source: Palco 866-710-0456 (option Colorado); PPL 888-752-8250; Consumer Direct Colorado 844-381-4433

Official state or agency page

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Pennsylvania: Tempus Unlimited (F/EA) with HHAeXchange

Program: Community HealthChoices (CHC) participant-directed personal assistance services

In Community HealthChoices, the CHC managed care organizations contract with HHAeXchange as the FMS vendor, and HHAeXchange subcontracts Tempus Unlimited as the Fiscal/Employer Agent. Common law employers and direct care workers deal directly with Tempus for payroll, tax withholding, W-2s, timesheets and EVV. The participant (or a chosen representative) is the employer and approves the worker's hours.

Official state or agency page · Second official source · Vendor's official site

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Paid caregiver programs in Pennsylvania · Pay calculator

New Jersey: Palco and PPL (Personal Preference Program); Acumen Fiscal Agent (DDD self-direction)

Program: Personal Preference Program (PPP) and Division of Developmental Disabilities self-directed employee option

PPP has two fiscal intermediaries chosen by the managed care plan: Horizon NJ Health members use Palco; Aetna Better Health of New Jersey, Fidelis Care, UnitedHealthcare Community Plan and Wellpoint members use Public Partnerships LLC (PPL). Separately, DDD moved its self-directed employee model from PPL to Acumen Fiscal Agent, with Acumen service starting December 7, 2025. The DDD change does not affect PPP.

Phone listed on the official source: Palco (PPP, Horizon) 877-710-0457; PPL (PPP) 1-844-880-8702 English, 1-844-880-8703 Spanish; PPP Helpline 1-609-631-2481

Official state or agency page · Second official source

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Paid caregiver programs in New Jersey · Pay calculator

Connecticut: GT Independence

Program: DDS self-direction (Department of Developmental Services)

GT Independence is the fiscal intermediary for DDS self-direction. It manages the budget, payroll, taxes and employer paperwork. The employer approves hours in the GT Portal, and staff log visits for EVV in the free GT Caregiver app before timesheets are paid.

Phone listed on the official source: GT Independence Connecticut customer support 877-659-4500

Official state or agency page · Second official source · Vendor's official site

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Paid caregiver programs in Connecticut · Pay calculator

Alabama: Allied Community Resources; Public Partnerships LLC (PPL)

Program: Self-directed HCBS waiver services (Alabama Department of Mental Health, Personal Choices)

Participants who self-direct waiver services choose one Financial Management Services Agency (FMSA): Allied Community Resources or Public Partnerships LLC (PPL). The FMSA issues paychecks, pays required taxes and helps manage the budget; the employer of record approves each worker's timesheet first. Only one FMSA at a time; transfers are limited and the official transfer form says budget savings may be unavailable for 60 to 90 days.

Official state or agency page · Second official source

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Paid caregiver programs in Alabama · Pay calculator

Wisconsin: IRIS fiscal employer agents; PPL selected as the single future FEA

Program: IRIS (Include, Respect, I Self-Direct)

The fiscal employer agent (FEA) helps IRIS participants with hiring paperwork and payroll. On January 29, 2026, DHS announced its notice of intent to select Public Partnerships LLC (PPL) as the single IRIS FEA. DHS says no action is needed now, transfers to the new FEA begin sometime in 2027, participants keep their workers, and early transfers are not allowed. Until then participants can switch among the current FEAs quarterly per the FEA Transfer Calendar (P-02239).

Official state or agency page · Second official source

Checked . See guide

Paid caregiver programs in Wisconsin · Pay calculator

Guides by vendor: PPL · Acumen · GT Independence · Tempus · Palco

Other states: pending verification on official sources; not published until verified.

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Sources

  1. New York: https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/Official
  2. Massachusetts: https://www.mass.gov/info-details/masshealth-personal-care-attendant-pca-fiscal-intermediary-tempusOfficial
  3. Massachusetts: https://www.mass.gov/info-details/financial-management-services-transition-for-participant-directed-programOfficial
  4. Maryland: https://health.maryland.gov/dda/Pages/Financial-Management-and-Counseling-Services.aspxOfficial
  5. Colorado: https://hcpf.colorado.gov/cdass-policies-resourcesOfficial
  6. Pennsylvania: https://www.pa.gov/content/dam/copapwp-pagov/en/dhs/documents/healthchoices/hc-services/documents/tempus-pa-chc-cle-handbook.pdfOfficial
  7. Pennsylvania: https://www.pa.gov/content/dam/copapwp-pagov/en/dhs/documents/healthchoices/hc-services/documents/PDP-FINAL-Report_03152024.pdfOfficial
  8. New Jersey: https://www.nj.gov/humanservices/dmahs/individuals-families/njppp.shtmlOfficial
  9. New Jersey: https://www.nj.gov/humanservices/ddd/individuals/access-services/self-direction/Official
  10. Connecticut: https://portal.ct.gov/-/media/dds/self_determination/final_quick-guide-to-dds-self-direction-fiscal-intermediary_aug2025.pdfOfficial
  11. Connecticut: https://portal.ct.gov/dds/searchable-archive/operationscenter/evv/evv-info-for-self-directionOfficial
  12. Alabama: https://mh.alabama.gov/wp-content/uploads/2026/03/FINAL-Self-Directed-Services-Handbook-11-20-2020-1.pdfOfficial
  13. Alabama: https://mh.alabama.gov/wp-content/uploads/2022/02/FMSA-Transfer-Form.pdfOfficial
  14. Wisconsin: https://www.dhs.wisconsin.gov/iris/fea-announcement.htmOfficial
  15. Wisconsin: https://www.dhs.wisconsin.gov/iris/whatsnew.htmOfficial

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