ACUMEN FISCAL AGENT LLC

Acumen Fiscal Agent LLC, established in 1995, is one of the oldest and largest fiscal employer agents in the United States. They specialize in empowering independence through trusted support by simplifying self-direction, managing care funding, and ensuring reliable payment and support services for individuals and families across the country. Their mission is to facilitate freedom, choice, and opportunity through innovative fiscal agent solutions. Acumen serves self-determined and self-directed populations, including aging adults, veterans, and individuals with developmental, intellectual, physical disabilities, and brain injuries, who choose home and community-based care over traditional facility care. The company handles employer-related financial responsibilities, such as assisting with enrollments, payroll, tax withholding and reporting (W-2s, 1099s), managing spending plans, billing funding sources, and providing Electronic Visit Verification (EVV) services. Acumen partners with federal and state programs, managed care organizations (MCOs), and county programs to deliver its services nationwide. While not a direct care facility, Acumen plays a critical role in enabling individuals to manage their own care providers and services by handling the complex financial and administrative aspects.

MESA, AZ

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