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Unofficial guide

Acumen Fiscal Agent Pay Rate

Acumen processes payroll but does not set pay. The rate comes from the state program, the participant's budget, and the employer within program limits.

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

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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 · Pay calculator

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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 · Pay calculator

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

Sources

  1. Massachusetts: https://www.mass.gov/info-details/masshealth-personal-care-attendant-pca-fiscal-intermediary-tempusOfficial
  2. Massachusetts: https://www.mass.gov/info-details/financial-management-services-transition-for-participant-directed-programOfficial
  3. New Jersey: https://www.nj.gov/humanservices/dmahs/individuals-families/njppp.shtmlOfficial
  4. New Jersey: https://www.nj.gov/humanservices/ddd/individuals/access-services/self-direction/Official

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