Fiscal Employer Agent (FEA) Clause Samples
Fiscal Employer Agent (FEA). An entity contracting with the State and/or an MCO that helps CHOICES members participating in consumer direction of HCBS. The FEA provides both financial administration and supports brokerage functions for CHOICES members participating in consumer direction of HCBS. This term is used by the IRS to designate an entity operating under Section 3504 of the IRS code, Revenue Procedure 70-6 and Notice 2003-70, as the agent to members for the purpose of filing certain federal tax forms and paying federal income tax withholding, FICA and FUTA taxes. The FEA also files state income tax withholding and unemployment insurance tax forms and pays the associated taxes and processes payroll based on the eligible HCBS authorized and provided. FQHC – Federally Qualified Health Center.
Fiscal Employer Agent (FEA). 2.9.7.3.1 The CONTRACTOR shall enter into a subcontract with the FEA specified by TENNCARE to provide assistance to members choosing consumer direction.
2.9.7.3.2 The FEA shall fulfill, at a minimum, the following financial administrative and supports broker functions for all CHOICES members electing consumer direction of HCBS:
2.9.7.3.2.1 Assign a supports broker to each CHOICES member electing to participate in consumer direction of HCBS;
2.9.7.3.2.2 Assist in identifying and addressing in the risk assessment and planning processes any additional risk associated with receiving consumer directed services;
2.9.7.3.2.3 Provide initial and ongoing training to members and their representatives (as applicable) on consumer direction and other relevant issues (see Section 2.9.7.7 of this Agreement);
2.9.7.3.2.4 Verify worker qualifications, including, as specified by TENNCARE, conduct background checks on workers, enroll workers into Medicaid, assign provider Medicaid ID numbers, and hold Medicaid provider agreements (see Section 2.9.7.6.1 of this Agreement);
2.9.7.3.2.5 Provide initial and ongoing training to workers on consumer direction and other relevant issues (see Section 2.9.7.7 of this Agreement);
2.9.7.3.2.6 Assist the member and/or representative in developing and updating service agreements (see Section 2.9.7.6.6);
2.9.7.3.2.7 Receive, review and process timesheets;
2.9.7.3.2.8 Resolve timesheet discrepancies;
2.9.7.3.2.9 Obtain documentation from the member and/or representative to ensure that services were provided prior to payment of timesheets;
2.9.7.3.2.10 Withhold, file and pay applicable: federal, state and local income taxes; employment and unemployment taxes; and worker’s compensation;
2.9.7.3.2.11 Pay workers for services rendered;
2.9.7.3.2.12 Facilitate resolution of any disputes regarding payment to workers for services rendered;
2.9.7.3.2.13 Monitor quality of services provided by workers; and
2.9.7.3.2.14 Report to the CONTRACTOR on worker and/or staff identification of, response to, participation in and/or investigation of critical incidents (see Section 2.15.8).
2.9.7.3.3 The FEA shall also fulfill, at a minimum, the following financial administrative and supports broker functions for CHOICES members electing consumer direction of HCBS on an as needed basis:
2.9.7.3.3.1 Assist the member and/or representative in developing job descriptions;
2.9.7.3.3.2 Assist the member and/or representative in locating and recruiting workers;
2.9.7.3...
