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Unofficial guide

Acumen Fiscal Agent Enrollment

You do not simply sign up "with Acumen": first the state program or health plan approves self-direction, then refers you to the fiscal intermediary.

  • Official sources
  • Last verified Oct 20, 2026
  • Independent site, not a government agency

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Reviewed against official sources Last verified 4 official sources cited

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Massachusetts

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.

Official state source · Second official source · State FMS guide

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New Jersey

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.

Official state source · Second official source · State FMS guide

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We list only states verified on official sources. Other states are pending.