Fiscal Employer Agent (F/EA) 

The Fiscal Employer Agent (F/EA) helps the Employer of Record (EOR) with paying caregivers. This allows the EOR to use their Medicaid waiver funds to hire and pay attendants to give care at home.

The Virginia Department of Medical Assistance Services (DMAS) works with the F/EA to make sure attendants are paid the right amount and only for the hours and services that were approved in the care plan. The EOR must review and sign timesheets before the attendant is paid. The F/EA also keeps track of all payments and handles taxes for the EOR.

It’s important to know that DMAS, the Service Facilitator, and the F/EA do not employ the attendants. The attendants work for the EOR, who is their actual employer.

Fiscal Agents