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Unofficial guide

Palco Enrollment

You do not simply sign up "with Palco": 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 3 official sources cited

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Colorado

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.

Official state 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.