South Dakota

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) 499-0624 or fax (866) 496-4564.

Participant Employer Forms

SD FS 360 Acumen Authorization Form SD FS 360 Acumen Employer Agreement SD FS 360 Change of Information Form SD FS 360 Employer Packet SD FS 360 Form 2108 SD FS 360 Form 2678 SD FS 360 Form SS-4 SD FS 360 Payment Schedule SD FS 360 Show Me the Money SD FS 360 Worker's Comp Poster Employer's Previous Business Information Form

Direct Care Employee Forms

Augeo Benefits Flyer SD FS 360 Application for Tax Exemptions SD FS 360 Employee Agreement SD FS 360 Employee Packet SD FS 360 Employee Rate Sheet SD FS 360 Form I-9 SD FS 360 Form W-4 SD FS 360 HRP Arbitration Agreement SD FS 360 HRP Employment Profile SD FS 360 HRP Important Disclosure SD FS 360 Pay Selection Form

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

South Dakota

Family Support 360 Forms

Participant Employer Forms

Direct Care Employee Forms

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

South Dakota

Family Support 360 Forms

Participant Employer Forms

Direct Care Employee Forms

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