Fiscal Intermediary Services on Staten Island, New York

Fiscal IntermediaryAt Lifestyles for the Disabled, our team offers fiscal intermediary (FI) services for individuals and families enrolled in Self-Direction programs. The Self-Direction model empowers adults with developmental disabilities to decide which support services they want to receive, who delivers them, and when to receive them. As part of these programs, recipients of care are required to select an FI to handle their administrative and billing support, which is where our team can help.

In recent years, interest in Self-Direction has increased on Staten Island, meaning the need for local FIs has also gone up. To ease the Self-Direction process for area families, Lifestyle for the Disabled offers comprehensive FI services. To get started, interested parties need to fill out a fiscal intermediary application.

Fiscal Intermediary Defined

A fiscal intermediary is a person, group of people, or business that is in charge of paying the relevant support expenses accrued by individuals who receive Self-Direction care. Specifically, FIs are responsible for managing their clients’ individual support budgets by providing authorized payments to their clients’ personal vendors.

FIs are a required part of Self-Direction because they help individuals navigate through the unfamiliar territory of billing, tax preparation, and more. Plus, they are also available to call when questions and concerns arise, ensuring that people who require special services remain supported throughout the entire Self-Direction process.

Our Fiscal Intermediary Services

The Lifestyles for the Disabled team has offered support for people with developmental disabilities since 1994. The same passion that fuels our continued care for this population also drives our delivery of FI services. Whether we care for our clients directly or help them choose how to be cared for, we are always working toward the fulfillment of our mission. To help ensure our clients’ success as they navigate through a Self-Direction model of care, we offer the following FI services:


  • Individual support budget review before submission to the state
  • Reimbursement or direct payments to vendors for state and/or Medicaid-compliant items listed in the budget
  • Act as Employer of Record for self-hired staff:
    • Office for People With Developmental Disabilities (OPWDD) background checks for new staff
    • Provide payroll services, including tax and other wage withholdings
    • Ensure adherence to applicable labor laws (e.g. minimum wage, overtime, etc.)
    • Provide training mandated by OPWDD
  • Track expenditures and compare them against the budget
  • Provide monthly expense reports
  • Answer questions and provide clarification



Become Part of the Lifestyles for the Disabled Mission

For over two decades, Lifestyles for the Disabled has aspired toward the same vision. Namely, our staff strives to provide quality learning experiences for people of all ability levels to help them grow into productive, independent, and dignified members of the Staten Island community. To realize this multi-part goal, we offer a variety of support services for clients, including our FI offerings.

Apart from our service offerings, Lifestyles for the Disabled also prides itself in its dedicated care team, amenity-packed facilities, and more. Serving more than 400 adults with developmental disabilities, our fiscal intermediary services are just one more way our team provides quality support for the developmentally disabled population of Staten Island. To learn more about our services or to schedule a campus visit and tour, contact the Lifestyles for the Disabled Intake Department at 718-983-5351, ext. 258.

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