Fiscal Intermediary Services For families with Self-Directions
Fiscal Intermediary services are available for Home and Community Based Services (HCBS) Waiver authorized participants who self-direct their services. A participant self-directing his/her services receives an individualized budget that (s)he directs pursuant to an approved plan.
A participant must choose an FI to handle billing when any of the following services are included in his/her budget:
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Individual Directed Goods and Services (IDGS);
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Live-in Caregiver;
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Brokerage Services;
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Community Transition Services and Moving Assistance;
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100% state-funded service(s) listed in the participant’s individualized budget; or
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Any self-hired staff for Community Habilitation, Supported Employment (SEMP),
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Respite.
Enroll Your Loved One Now!
Step 2- Fill Out Referral Form and email
form to ajames@uniquecarenyc.org
Step 3- Schedule a Tour of our program
Step 4- Fill out In-Take Application
Step 5- Care Managers must provide Documents
Step 1- HIPPA Privacy Consent
Complete HIPPA Consent
Complete Referral Form
Contact us at 347-502-2956 to schedule a tour of our facility
Fill out In-Take Application Forms
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Care Managers must submit the following documents:
-Psychological and Psychosocial Evaluations
-Level of Care
-Life Plan
-Notice of Decision
-Service Authorization
-DDP2