Fiscal Management Services

teamworkMedSource Community Services, Inc. has provided supports to people with Developmental Disabilities since 1985.  Our organization began as a residential provider utilizing the Group Home and Alternative Living Unit models.  Throughout the years we have evolved as the preferences, desires and needs of our service recipients have changed.

MedSource Community Services, Inc. has participated with the DDA of Maryland for over a decade to provide fiscal management services to individuals through Self Directed Services (formerly known as New Directions).  Currently, Self Directed Services can be found under Personal Supports in the CMS approved DDA Home and Community Based Services (HCBS) waiver.  Although the individual service recipient and their natural supports are effective, they still need supports with fiscal management, regulatory compliance, personnel management and other technical issues that may arise.  We have placed ourselves in the role of “business consultant” to the individual and their natural supports.  We provide the consumer with opinions and directions based on past experience, printed regulations, previous agreements and possible risks in the areas such as Federal and State tax, labor and unemployment, regulations pertaining to employing household/caregiver staff and worker’s compensation, just to name a few.  Our role is to listen, educate and provide technical support when requested.

MedSource Community Services, Inc. greatly appreciates the opportunity to provide Fiscal Management Services to a large number of people in the State of Maryland.  We anticipate many of our current policies and practices will meet the needs of our future clients.  Additionally, we recognize, as each program is implemented, we will need to be flexible and innovative to meet the unforeseen challenges faced by our clients and their natural supports. Contact Information for our FMS program:

Shelly Tavenner, Administrative Director

101 Summit Ave., Hagerstown, MD 21740

Phone: 301-371-3775   Fax: 301-560-5782

Email: FMS@medsourceservices.org

 

Services without Payroll

MedSource Community Services, Inc. will generate disbursements to approved vendors with proof of services rendered following the guidelines below. MedSource Community Services, Inc. will generate a 1099 for vendors paid in the calendar year, when applicable. MedSource Community Services, Inc. will generate a monthly account statement for the consumer.

  • The disbursement request will require a unique Request for Disbursement of Budgeted Funds and applicable invoice/back-up for each disbursement. All correctly submitted and approved requests will be processed and paid within 10 business days.

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Services with Payroll & Vendors

MedSource Community Services, Inc. and the recipient will reach an agreement on the projected number of employees during the budgeted year and assist the service recipient with the following:

  • Establish an Employer Identification Number
  • Appointment of Employer Agent
  • Maryland Combined Registration set-up
  • Employee Payroll and Employment Files
  • Worker’s Compensation Insurance policy
  • Criminal Background Checks
  • Tracking Training Compliance (CPR & First Aid)

MedSource Community Services, Inc. will generate a monthly account statement for the service recipient and will accrue payroll by month in accordance with generally accepted accounting procedures. MedSource Community Services, Inc. will perform payroll 26 times per year on specified dates.  Additionally, MedSource Community Services, Inc. will:

  • Withhold employee Federal and State income taxes and pay same as budgeted
  • Pay all mandated benefits such as FICA, federal unemployment premiums, state unemployment insurance, and worker’s compensation within the constraints of the agreed upon budget* and in compliance with the legal requirements
  • Manage funds and complete all reporting requirements as per the Self Directed Services / HCBS Waiver regulations and policies
  • Compensate qualified personnel
  • Pay approved vendor invoices as budgeted. The request will require a unique Request for Disbursement of Budgeted Funds and applicable invoice/back-up for each disbursement. All correctly submitted and approved requests will be processed and paid within 10 business days.

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Start-up Fee

MedSource Community Services, Inc. charges a one time only (OTO) start-up fee of $495.00.  Your Support Broker/Coordinator of Community Services (CCS) can add this to your budget and DDA will pay this OTO fee so it does not come out of the recipient’s budget.  Please make sure you speak with your Support Broker/CCS about adding this into the submitted IP&B to your regional office.

 

*This cost is calculated as a % and is not included in the monthly FMS fee. It is a separate line included within the approved budget submitted by the service recipient and their Support Broker to DDA.  If a recipient exceeds the % rate, MedSource Community Services, Inc. will charge the actual percentage used.  If a recipient uses less than the projected %, MedSource Community Services, Inc. will apply the difference to the recipient’s budget.