1. A. The F/EA must comply with requirements for financial management services in self-direction including, but not limited to:

   1. 1. verifying qualifications of employers and support workers;
   2. 2. processing payroll, including applying applicable withholds and filing/paying all required state and federal income taxes;
   3. 3. disbursing payment to direct support workers;
   4. 4. setting up accounting records to track expenses;
   5. 5. setting up procedures for processing payroll and non-labor items;
   6. 6. maintaining all records related to the direct support worker’s payroll, taxes, and benefits;
   7. 7. producing and sending required reports to LDH;
   8. 8. providing support to self-direction employers;
   9. 9. billing the LDH fiscal intermediary for Medicaid service claims and making refunds to LDH as appropriate;
   10. 10. resolving all billing discrepancies timely;
   11. 11. utilizing an LDH approved payroll calendar that addresses tax obligations; and
   12. 12. utilizing a system capable of capturing, recording, and tracking service, payroll, and tax information.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Health, Bureau of Health Services Financing, the Office of Aging and Adult Services, and the Office for Citizens with Developmental Disabilities, LR 49:1562 (September 2023).