IDAPA 16.03.13.312

Fiscal Employer Agent (Fea): Performance Metrics

Last amended: 2025Year: 2025Length: 353 wordsOfficial source
01. Readiness Review. Complete a readiness review conducted by the Department with the provide r prior to providing FEA services. (7-1-25) a. The Department will access SFTP site for review of provider documents and conduct an onsit e review. (7-1-24) 02. Fiscal Support and Financial Consultation. (3-17-22) a. The provider must provide each participant with fiscal support and financial consultation. (3-17-22) 03. Quarterly Reconciliation. Each fiscal quarter after initiating service, the provider must reconcile its Medicaid Billing Report to a zero-dollar ($0) balance with the Medicaid Bureau of Financial Operations. Th e provider has ninety (90) days to comply with reconciling each participant’s SSP balance to a zero dollar ($0) balanc e with Medicaid’s reimbursements. The provider must: (7-1-25) a. Show one hundred percent (100%) compliance with the required quarterly reconciliation of th e Medicaid Billing Report. (7-1-25) b. Notify the Department immediately if an issue is identified that may result in the provider no t reconciling the Medicaid Billing Report. The Department will notify the provider when a performance issue i s identified. The Department may require the provider to submit a written corrective action plan for Departmen t approval within two (2) business days after notification. If the provider fails to reconcile within ninety (90) days afte r the end of each quarter, the provider will be penalized fifty dollars ($50) each week until the provider has reconcile d with Medicaid to a zero dollar ($0) balance. (7-1-24) 04. Cash Management Plan. Each provider’s cash management plan must equal one point five (1.5 ) times the monthly payroll cycle amount and can be forms of liquid cash and lines of credit. For example, if a provider’s current payroll minimum has averaged one hundred thousand dollars ($100,000) per payroll cycle, th e provider would be required to have one hundred fifty thousand dollars ($150,000) in a cash management plan. Th e Department must be on the notification list if any lines of credit are decreased in the amount accessible or terminated . The expectation is to provide a seamless payroll cycle to the participant, without loss of pay to their employees. (7-1-24)
IDAPA 16.03.13.312: Fiscal Employer Agent (Fea): Performance Metrics | Justis AI