Office for People With Developmental Disabilities

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Fiscal Intermediaries


The Fiscal Intermediary or FI is an agency that provides administrative and billing support to a person who chooses self-direction.    

The Fiscal Intermediary is responsible for:

  • Completing background checks for self-hired staff;
  • Billing Medicaid or New York State for services in the budget;
  • Paying staff;
  • Tracking expenditures; and
  • Providing monthly statements to the person.