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Fiscal Intermediary Services

Acumen Fiscal Agent is one of the oldest fiscal employer agents in the country. We specialize in working with self-determined, self-directed populations and programs that utilize home care assistance in communities throughout the U.S. For more information contact us at (877) 211-3738.

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Services Provided
Services Not Provided
in home disability care

Populations We Serve

At Acumen, we work with a variety of populations. Most often our clients fall into the following categories.

  • Individuals with developmental disabilities
  • Individuals with intellectual disabilities
  • Individuals with physical disabilities
  • Individuals with brain injuries
  • Aging adults
  • Veterans

Our Services

Services for Participant Employers

Acumen works closely with participants/employers who choose the self-directed care model to stay in their home rather than following the traditional model of receiving care in a facility. We help participants manage their employees — and all the requirements and legalities surrounding their employment.

Services for Direct Care Employees

Acumen provides employee services that include Electronic Visit Verification (EVV), payroll, taxes, and notifications regarding program requirements such as certification due dates and expirations.

Documents & information

Both participants and direct care employees will find our curated list of resources convenient and helpful. For assistance in understanding the terminology of our industry, visit our Education page.

For more details on the exact services Acumen can provide, see our responsibilities below.

Acumen’s Responsibilities

  • Manages employer-related financial responsibilities.
  • Assists with enrollments of the participant, employer, and employee by collecting all required paperwork necessary for the IRS, state and local taxing authorities, and the Department of Labor.
  • Complies with all employer and employee tax withholding and reporting requirements. These include employee payroll deductions, processing payments for the employer, and sending employee taxes to state, federal, and local taxing authorities on the employer’s behalf.
  • Handles and prepares employee W-2 and 1099s to vendors and subcontractors.
  • Manages reports and tracking of spending plans (authorizations/budgets).
  • Processes payroll and then bills the funding source.
senior home care

Funding Partners

Acumen could not do the work we do without the financial backing of our funding partners. We work with programs at the federal and state level, as well as managed care organizations, county programs, and Veteran’s programs. Together we provide a unique individualized level of service through a compassionate, personalized agent model of care. Level of service delivery is tailored to meet each participant’s needs.

Helping thousands of people lead more independent lives since 1995.

Our Mission Statement

Acumen Fiscal Agent facilitates freedom, choice, and opportunity through innovative fiscal agent solutions.

Our Values

The following values are at the core of our company:

Customer satisfaction


Prompt & courteous resolution to issues

A positive & rewarding workplace

Building relationships


More About Us

personalized self-Direction services

Since 1995, Acumen has been a trusted advocate and provider in the self-direction space of the healthcare system across the United States. We prioritize service and always work to exceed expectations. For more information contact us at (877) 211-3738.