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Consumer/ Client Directed Attendant/ Employee Support Services Section 5: Financial Management Services (FMS) Provider Choice Which FMS provider you select is an individual choice.

1 Consumer/ Client Directed Attendant/ Employee Support Services Section 5: Financial Management Services (FMS) Provider Choice Which FMS provider you select is an individual choice. As long as you are receiving CDASS, you will have an on-going relationship with your FMS provider, so it is important you look at your individual needs and compare your options, similar to choosing any business you would like to work with. Open Enrollment: Open enrollment provides you with the opportunity to change FMS provider or FMS model. If you are happy with your current FMS provider, you do not have to make any changes during open enrollment. Parameters have been put in place to ensure the transition goes smoothly and to avoid interruption in services. Communication and follow-through is key and you play a critical role in making the transfer successful. Please refer to the FMS Comparison Chart and the individual FMS Provider Information Sheets for general information. These are located later in Section 5. CDASS Program Training Manual (Revised 2/28/2017) 51

FMS Provider Contact Information To ensure you have choice, HCPF has contracts with three FMS providers. The FMS providers are available and willing to answer your questions.

com Email: ms-cotransition@morningsunfs.com PPL Toll Free Phone: 888-752-8250 Website: www.publicpartnerships.com/cofacts Email: ppcdass@pcgus.com Process to Make a Change: 1.

2 FMS Provider Contact Information To ensure you have choice, HCPF has contracts with three FMS providers. The FMS providers are available and willing to answer your questions. ACES$ Phone: Toll Free Phone: Website: Morning Sun Financial Services Toll Free Phone: Website: PPL Toll Free Phone: Website: Process to Make a Change: 1. Contact your case manager. Tell him/her what change you would like to make. 2. Contact the FMS provider you are currently working with and let him/her know that you want to make a change to a new FMS provider. 3. Contact the new FMS provider and let them know you want to work with them. There will be additional paperwork required by the new FMS to enroll you and your attendants. 4. Complete all necessary paperwork and submit to the FMS provider. 5. Verify with both the new FMS provider and case manager that the change will be effective for the intended start date. Timeframes: The start date with the new FMS will depend on the change you are making and the date you submit all required paperwork. The timeline for changing FMS providers is as follows: CDASS Program Training Manual (Revised 2/28/2017) 52

Paperwork Due: March 1 st June 1 st September 1 st December 1 st CDASS Open Enrollment Schedule Start Date with new FMS: March 16 th June 16 th September 16 th December 16 th If paperwork is not

My pain level has decreased and I am not doing things that I shouldn t do because I have the help that I need. My overall health is much better than it has ever been, due to the quality of care I get.

3 Paperwork Due: March 1 st June 1 st September 1 st December 1 st CDASS Open Enrollment Schedule Start Date with new FMS: March 16 th June 16 th September 16 th December 16 th If paperwork is not received by the due date listed above, you will need to wait until the following open enrollment date for transition. PERSONAL FEATURE: Hope Krause, Ft Morgan CDASS has changed my life 100%. My pain level has decreased and I am not doing things that I shouldn t do because I have the help that I need. My overall health is much better than it has ever been, due to the quality of care I get. Living in a rural part of the state, I was only getting three hours of care a day three times a week through an agency prior to becoming eligible for CDASS. Imagine only being allowed to pee three days a week. I would sit in urine until an aid came. Before I got on CDASS my mother and son would provide some uncompensated care. My mother is now totally disabled because of all of the care she provided to me over the years without any help. My son can now be a child instead of my caregiver; he can have his own life, once again. CDASS has been a godsend for folks in Morgan County. I helped one man qualify for CDASS and get out of a nursing home. He got Section 8 Housing and lived independently until he died. He spent every day up until the last two days of his life in the community with his friends and family by his side. CDASS made that possible! CDASS Program Training Manual (Revised 2/28/2017) 53

4 The ACES$ Advantage Why Choose ACES$ over other FMS Providers As a Center for Independent Living (CIL) and a long-serving FMS provider, ACES$ has a deep understanding of Participant-direction and how to implement it within fiscal management services. We actively work with our State partners, Service Coordinators, Participants and their workers to provide transparent, person-centered services that support independence. ACES$ has been successfully working with Colorado CDASS Participants since What to expect when working with ACES$ Exceptionally quick enrollment process for both Participants and workers. Our personal, oneon-one enrollment and training guarantees that paperwork is completed correctly the first time and that the rest of the process is swift, efficient and less overwhelming. Superior customer service and Participant care. You will receive a quick personal response to all inquiries, distinguishing us from other FMS providers. When Participants or their workers call ACES$ they get a REAL person on the phone, not an automated response. Participants have a choice of method for timesheet submission (online, , mail or fax.) Transparent systems provide many opportunities for oversight at the State, Service Coordination and Participant levels to ensure quality and access to real-time information. Access to subject matter experts on Department of Labor requirements, Fair Labor Standards Act, Participant-direction, Medicaid, disabilities and independent living. Jason Smith ACES$ Colorado Operations Manager JSmith@mycil.org

Who We Serve ACES$ provides FMS services for the following populations: Aging/Over 65 Veterans Children with disabilities, medically fragile and/or technology dependent Adults with Physical,

the world of FMS providers. We Can Be Independent When We Do It Together www.mycil.

5 Who We Serve ACES$ provides FMS services for the following populations: Aging/Over 65 Veterans Children with disabilities, medically fragile and/or technology dependent Adults with Physical, Developmental, Intellectual, Mental Health Disabilities A Participant-Directed FMS Provider ACES$ Financial Management Services is a FMS provider that specializes in Participant-directed HCBS programs. Where We Serve Illinois Colorado Maryland Wyoming Georgia Texas (November 2016) Our customer service, subject matter expertise and personal knowledge of the disability experience make us unique in the world of FMS providers. We Can Be Independent When We Do It Together ACES$ a Division of NEPACIL/ All Rights Reserved, ACES$, Proprietary About ACES$ ACES$ Financial Management Services is a Participantdirected payroll management solution for Medicaid recipients and their Caregivers. ACES$ is a subsidiary of the Northeast Pennsylvania Center for Independent Living where we have served people with disabilities since At ACES$ we empower Participants by handling the administrative employer functions for them while making the experience convenient for their workers. As a Center for Independent Living we have decades of experience serving people with disabilities; over 51% of our own staff have a disability. Some of our staff and board members actively use our services. This makes us unique in the world of FMS providers.

We offer the personal flexibility that can only come from getting to know you and your individual preferences. Why Choose Us?

6 Establish a Trusting Relationship Your time and your quality of life are important. That s why Morning Sun Financial Services of Colorado focuses on building relationships with our clients, whether it s by phone, or in person. We offer the personal flexibility that can only come from getting to know you and your individual preferences. Why Choose Us? Morning Sun Financial Services of Colorado is an experienced provider of financial management services including those provided by the Consumer Directed Attended Support Services (CDASS) program. We are a national financial management provider for self-directed services in: Utah Oklahoma Tennessee Ohio Colorado Minnesota We Make Things As Easy For You As Possible Our web-based systems for participants include: Online enrollment forms submission Timecard entry Monthly expense summaries can be mailed or ed to participants and case managers, or viewed on our website, 24 hours a day We pay your employees on time! We accept timesheets by: Mail Fax Web-based system We provide services to all people with respect to language, culture, location and ability: We communicate in 176 languages If you wish to communicate through an interpreter, please call Call Rebecca in our Denver office at or visit our website at

7 You Can Feel Confident About Working With Us The Morning Sun Difference Morning Sun understands participants. We understand the unique needs of people with disabilities and older adults, in addition to finance and accounting. Morning Sun is local. Our customer service is based in Colorado. We understand the services offered in your state. Each time you call for assistance, you ll speak with the same representatives. Morning Sun ensures participants are satisfied with our services. Our participant satisfaction ratings are some of the highest in the country. Morning Sun provides easy access to information. We have developed web-based, proprietary software to ensure accuracy and efficiency in the delivery of Financial Management Services. Morning Sun is committed to processes that work for participants. We are committed to efficiency and timeliness. The Morning Sun customer relations/service has been outstanding. There have not been any problems concerning payroll, personal relations or communications. We are totally satisfied with the Morning Sun staff. I m very happy with their service. I m particularly pleased with the fact that I deal with only one person. Morning Sun customer Satisfied Morning Sun participant Call Rebecca in our Denver office at or visit our website at

8 Most CDASS clients choose Public Partnerships. Here s why. 6 YEARS IN COLORADO For the past six years, Public Partnerships Colorado (PPC) has been based right here. Our local staff members work across the state, in each community, to support clients choice including yours. EXPERIENCE. TRUST. MONEY IN YOUR POCKET. Those are a few reasons why people choose Public Partnerships. Better Business Bureau Rating of A+ We work hard to ensure our customers are satisfied. The BBB independently rates organizations and we continually maintain the highest rating a business can receive. Just like other organizations, PPL has one BBB account that all of the clients and attendants we serve can use to write a review. Need help finding an attendant? PPL offers an industry leading attendant recruiting service to help connect you with qualified local attendants. This free service matches your needs with potential candidates for you to interview. We Save You Money Lowest Employer Cost = More dollars to use for services! If you pay your attendant $15 per hour, your budget will be charged: Public Partnerships vs Other FMS vendors $16.93 $17.07 If your attendant works 40 hours a week, you save over $22 a month! Local Customer Service Specialists PPL offers world-class customer service, including local CDASS-specialist agents in our Denver, CO office. Easy Timesheet Options Our electronic timesheet entry options adapts to individual needs; you get the choice of the BetterOnline portal, and soon our new mobile app and phone options currently being tested by Colorado attendants and clients. 16 Years of Experience Quite simply, we understand what you need, because our parent company has been providing financial management services (FMS) for 16 years, now for more than 72,000 clients and 95,000 attendants nationwide more than anyone else in the business. Public Partnerships Colorado

IT S YOUR CHOICE. OUR JOB IS TO HELP MAKE YOUR DECISIONS EASIER.

9 IT S YOUR CHOICE. OUR JOB IS TO HELP MAKE YOUR DECISIONS EASIER. Contact You can call us at We ve created a website just for Colorado clients: It answers a lot of questions, compares the models, and links to other important resources. You can us at ppcdass@pcgus.com LET S TALK While every FMS provider will process your payroll and handle your employment taxes, Public Partnerships has the experience and local community focus to help make consumer direction better. Please contact us to answer your questions and get you started with PPC ppcdass@pcgus.com

ACES$ FINANCIAL MANAGEMENT SERVICES Colorado CDASS "Cost to You" Pay Rate Table - Effective January 1st, 2017 The following table is an example which illustrates the "Cost to You" of employing

11 ACES$ FINANCIAL MANAGEMENT SERVICES Colorado CDASS "Cost to You" Pay Rate Table - Effective January 1st, 2017 The following table is an example which illustrates the "Cost to You" of employing someone. Hourly Overtime Hourly Overtime Hourly Overtime Hourly Overtime Hourly Overtime Hourly Overtime Cost to Cost to Cost to Cost to Cost to Cost to Wage Wage Wage Wage Wage Wage You You You You You You $ 9.30 $ $ $ $ $ $ $ $ $ $ $ $ 9.50 $ $ $ $ $ $ $ $ $ $ $ $ 9.75 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Maximum Hourly Rate $ $ $ $ A breakdown of the costs included in the "Cost to You" column are as follows: 6.20% FICA 1.45% Medicare 0.60% Federal Unemployment Tax 2.13% State Unemployment Tax 3.42% Workers Compensation 13.80% TOTAL You are certainly free to pay an employee any amount you desire as long as your wages are within the State's funding parameters. Current minimum wage is $9.30 per hour. You can calculate a rough "cost to you" by multiplying the wage you wish to pay by % Example: $ % = $10.24 Please Note: Your domestic household employee(s) may qualify for certain tax exemptions due to family and/or live-in qualifications. Please contact our Tax department at ext 830 for more details. ACES$ * 6041 S Syracuse Way, Suite 105 * Greenwood Village * Colorado * Toll Free: (844) * Facsimile: (303) * Website: www. MyCil.org

Colorado CDASS Program Attendant Wages: "Cost to You" Effective 5/1/2017-12/31/2017 The following table shows the approximate hourly cost to you to pay an employee.

12 Colorado CDASS Program Attendant Wages: "Cost to You" Effective 5/1/ /31/2017 The following table shows the approximate hourly cost to you to pay an employee. The cost to you" is the amount that will come out of your CDASS allocation. The "cost to you" includes employer taxes and worker's compensation insurance costs that Morning Sun will make on your behalf. The amount of those taxes and worker's compensation insurance is broken down at the bottom of this page. Employee Cost To Cost Per Hour Employee Cost To Cost Per Hour Employee Cost To Wage You of Overtime Wage You of Overtime Wage You $ 9.30 $ $ $ $ $ $ $ $ $ 9.50 $ $ $ $ $ $ $ $ $ 9.75 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total Employer Contributions Include the Following: FICA (Social Security) 6.20% Medicare 1.45% FUTA 0.60% SUTA 2.11% Worker's Compensation 3.32% Total Cost 13.68% Please Note: The amounts in the table above are examples only. You are free to pay your employees the hourly wage you want, as long as it does not go over the maximum rate allowed for CDASS of $ If the wage is not listed above just take the wage you want to pay and multiply the amount by This will give you the approximate "cost to you". If you have any questions, please call Morning Sun at Cost Per Hour of Overtime Colorado CDASS Program Morning Sun Financial Services of Colorado 4/17/2017

13 EMPLOYEE WAGE Effective paydays January 1, 2017 through December 31, 2017 COST TO YOU "Attendant Wages: Cost to You" The following chart shows you how much each employee will cost you based on the hourly rate you pay them. The total 'cost to you' is the amount that will come out of your CDASS monthly allocation. The cost includes employer taxes, workers' compensation insurance costs, and the breakdown can be found below. All amounts are for illustrative purposes. You may pay your employees any rate amount you desire within state program guidelines. EMPLOYEE OVERTIME WAGE COST TO YOU EMPLOYEE WAGE COST TO YOU EMPLOYEE OVERTIME WAGE COST TO YOU $9.30 $10.42 $13.95 $15.63 $18.50 $20.73 $27.75 $31.10 $9.50 $10.65 $14.25 $15.97 $19.00 $21.29 $28.50 $31.94 $10.00 $11.21 $15.00 $16.81 $19.50 $21.85 $29.25 $32.78 $10.50 $11.77 $15.75 $17.65 $20.00 $22.41 $30.00 $33.62 $11.00 $12.33 $16.50 $18.49 $20.50 $22.97 $30.75 $34.46 $11.50 $12.89 $17.25 $19.33 $21.00 $23.53 $31.50 $35.30 $12.00 $13.45 $18.00 $20.17 $21.50 $24.09 $32.25 $36.14 $12.50 $14.01 $18.75 $21.01 $22.00 $24.65 $33.00 $36.98 $13.00 $14.57 $19.50 $21.85 $22.50 $25.21 $33.75 $37.82 $13.50 $15.13 $20.25 $22.69 $23.00 $25.77 $34.50 $38.66 $14.00 $15.69 $21.00 $23.53 $23.50 $26.33 $35.25 $39.50 $14.50 $16.25 $21.75 $24.37 $24.00 $26.89 $36.00 $40.34 $15.00 $16.81 $22.50 $25.21 $24.50 $27.45 $36.75 $41.18 $15.50 $17.37 $23.25 $26.05 $25.00 $28.02 $37.50 $42.02 $16.00 $17.93 $24.00 $26.89 $25.50 $28.58 $38.25 $42.86 $16.50 $18.49 $24.75 $27.73 $26.00 $29.14 $39.00 $43.70 $17.00 $19.05 $25.50 $28.58 $26.50 $29.70 $39.75 $44.54 $17.50 $19.61 $26.25 $29.42 $27.00 $30.26 $40.50 $45.38 $18.00 $20.17 $27.00 $30.26 $27.50 $30.82 $41.25 $46.22 The breakdown of the "COST TO YOU" : Please Note: FICA (Social Security and Medicare) 7.65% The Colorado minimum wages is $9.30 and the maximum wage FUTA 0.60% allowed for CDASS, including overtime is $ Your attendant SUTA 1.50% may qualify for a tax exemption. Contact customer service for Workers' Compensation 2.31% more details. Total Cost Factor 12.06% Your Rate Not Here? You can calculate the approximate "Cost to You" by multiplying your Employee Wage by

14 FMS Provider Comparison Is there a local office in Colorado? Topic ACES$ Morning Sun PPL What is the payroll schedule? Yes Yes Yes 1 st 15 th 16 th last day of the month Pay dates are the Fridays on or before the 10 th and 25 th of each month 1 st 15 th 16 th last day of the month Pay dates are semi-monthly on the 10 th and 25 th of each month 1 st 15 th 16 th last day of the month Pay dates are semi-monthly on the 10 th and 25 th of each month Is supplemental or off-week payroll offered? Are in person enrollments offered? Is the enrollment packet available for completion online? Is telephone support available if enrolling online? Is direct deposit of Attendant payroll offered? Is direct deposit of Attendant payroll required? Better Business Bureau rating? Is electronic submission of Attendant time available? Yes runs weekly Yes pay date is 3 days after payroll Yes run on alternate weeks to regular payroll Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No Joined, not yet rated A- A- Yes Yes Yes CDASS Program Training Manual (Revised 2/28/2017) 64

15 Topic ACES$ Morning Sun PPL Has been issued contact related citations in Colorado or another No No No place of business? Has had a contract terminated for inadequate performance in Colorado or another place of No No No business? Website meets 508 compliance regulations? Yes Yes Yes What is the hiring process and length of time? *Each FMS provider requires Attendant paperwork. Answers are based on receipt of an 1 day if paperwork is completed by Within 3 business days Within 3 business days accurately completed paperwork packet. Inaccurate paperwork will increase process time. the Attendant Cost to You *Including percentage of payroll taxes (2017 tax rates) 13.80% 13.61% 12.06% CDASS Program Training Manual (Revised 2/28/2017) 65

16 SUMMARY Section 5: Fiscal Management Service (FMS) Provider Choice Prior to submitting your ASMP, it is important to take time to research each of the FMS providers so you can make an informed decision that is right for you. There is an opportunity to change FMS providers within certain parameters. CDASS Program Training Manual (Revised 2/28/2017) 66

TennCare Employment and Community First CHOICES. Member Information Packet If you have questions, please call PPL customer service at

Phone: 1-888-419-7753 TTY: 1-800-360-5899 Paperwork Fax: 1-844-634-7304 Paperwork E-mail: Choices.tnecfdocuments@pcgus.com Website: www.publicpartnerships.com TennCare Employment and Community First CHOICES