Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXI - Home and Community-Based Services Waivers
Subpart 1 - General Provisions
Chapter 11 - Fiscal Employer Agent Standards for Participation in Home and Community-Based Services Waiver Programs
Subchapter C - Provider Responsibilities
Section XXI-1131 - Fiscal Employer Agent Requirements

Universal Citation: LA Admin Code XXI-1131

Current through Register Vol. 50, No. 9, September 20, 2024

A. The F/EA must comply with requirements for financial management services in self-direction including, but not limited to:

1. verifying qualifications of employers and support workers;

2. processing payroll, including applying applicable withholds and filing/paying all required state and federal income taxes;

3. disbursing payment to direct support workers;

4. setting up accounting records to track expenses;

5. setting up procedures for processing payroll and non-labor items;

6. maintaining all records related to the direct support worker's payroll, taxes, and benefits;

7. producing and sending required reports to LDH;

8. providing support to self-direction employers;

9. billing the LDH fiscal intermediary for Medicaid service claims and making refunds to LDH as appropriate;

10. resolving all billing discrepancies timely;

11. utilizing an LDH approved payroll calendar that addresses tax obligations; and

12. utilizing a system capable of capturing, recording, and tracking service, payroll, and tax information.

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

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