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Select a Model

There are two prominent models of FMS: Fiscal/Employer Agent (F/EA) and Agency with Choice (AwC).  Under the F/EA model, the participant directly hires, schedules and supervises his or her own workers, serving as the common law employer. This means that the participant has the highest level of control over his or her workers and service delivery, and is able to cater this exactly to meet his or her own needs. To support the participant in this role, the F/EA takes on liability for the federal taxes and handles payroll duties so that the participant is able to focus on directing his or her services.  The AwC model involves a co-employer relationship, wherein the participant selects a worker to be hired, but the worker is employed by an agency.  The participant can oversee some aspects of the worker's job.  However, the increased risk incurred to the agency under the co-employer relationship often makes the AwC hesitant to provide the participant with as much choice and control as an F/EA.  Therefore, the F/EA model is generally considered to be more participant-directed than AwC, and is the recommended FMS option in VD-HCBS programs. A summary of the different models can be found in our FMS Resources section.

Option 1: Fiscal/Employer Agent

Option 2: Agency with Choice

Costs in the Two models