Idaho

Acumen consistently exceeds 95% Customer Service Ratings across all of the programs we serve throughout the United States.

To contact Acumen Fiscal Agent, please call (866) 496-9139 or fax (855) 264-3290.

Program Website

Participant Employer Forms

Employer's Previous Business Information Form Form W-9 ID FDS Agency to Provide CSW Agreement ID FDS Employee Termination Form ID FDS Independant Contractor Agreement ID FDS Mileage Form Instructions ID FDS Mileage Timesheet ID FDS Participant Employer Change Information Form ID FDS Payment Schedule 2023-2024 ID FDS Show Me The Money ID FDS Timesheet Instructions ID FDS Timesheet ID FDS Vendor Payment Request Form ID FDS-MVMC Overtime Exemption Information

Direct Care Employee Forms

Form I-9 Form ID W-4 Form W-4 ID FDS CSW CHC Waiver ID FDS CSW Enrollment Packet ID FDS SB Enrollment Packet ID FDS Employee Change Information Form ID FDS Employee Information Form ID FDS Employee Pay Selection Form ID FDS Medicaid CSW Agreement Form ID FDS Medicaid SB Agreement Form ID FDS Participant CSW Employment Agreement ID FDS Participant SB Employment Agreement ID CSW-SB Employee Paperwork Guide

Enroll Now

Program Website

Participant Employer Forms

Employer's Previous Business Information Form Form W-9 ID FDS-MVMC Overtime Exemption Information ID MVMC Agency To Provide CSW Agreement Form ID MVMC Employee Termination Form ID MVMC Independent Contractor Agreement ID MVMC Mileage Form Instructions ID MVMC Mileage Timesheet ID MVMC Participant Employer Change Information Form ID MVMC Payment Schedule 2023-2024 ID MVMC Show Me The Money ID MVMC Timesheet Instructions ID MVMC Timesheet ID MVMC Vendor Payment Request Form

Direct Care Employee Forms

Form I-9 Form ID W-4 From W-4 ID CSW-SB Employee Paperwork Guide ID MVMC CSW Enrollment Packet ID MVMC SB Enrollment Packet ID MVMC Difficulty of Care Information ID MVMC Employee Change Information Form ID MVMC Employee Information Form ID MVMC Employee Pay Selection Form ID MVMC Medicaid CSW Agreement ID MVMC Medicaid SB Agreement ID MVMC Participant CSW Employment Agreement ID MVMC Participant SB Employment Agreement

Enroll Now

For enrollment information or employee paperwork, please contact your Veterans Directed Care, Case Manager:
Angelyn Norgaard
(208) 233-4032
Angelyn.norgaard@sicog.org

Workers Compensation Information

For enrollment information or employee paperwork, please contact your Veteran Care Advisor:
Chantelle Kates
Veteran Care Advisor
Area 3 Senior Services Agency
chantelle.kates@a3ssa.com

Workers Compensation Information

Local Office

Address 3040 N Five Mile Rd. Boise, ID 83713

Remember to renew your Medicaid coverage. Click here for your state's Medicaid home page.

Idaho

FDS (Family-Directed Support Services)

Participant Employer Forms

Direct Care Employee Forms

MVMC (My Voice, My Choice Self-Directed Services)

Participant Employer Forms

Direct Care Employee Forms

SICOG – VD HCBS (Southeast Idaho Council of Governments Veteran Directed Home and Community Based Services)

Area 3- VD HCBS (Area 3 Veteran Directed Home and Community Based Services)

Local Office

Remember to renew your Medicaid coverage. Click here for your state's Medicaid home page.

Idaho

FDS (Family-Directed Support Services)

Participant Employer Forms

Direct Care Employee Forms

MVMC (My Voice, My Choice Self-Directed Services)

Participant Employer Forms

Direct Care Employee Forms

SICOG – VD HCBS (Southeast Idaho Council of Governments Veteran Directed Home and Community Based Services)

Area 3- VD HCBS (Area 3 Veteran Directed Home and Community Based Services)

Local Office

Home / Idaho