Fiscal Employer Agent (Fea): Payment Requirements

01. Per Member Per Month (PMPM) Payment. The Department will pay, and the provider mus t accept a PMPM payment that covers a comprehensive set of FEA services. The Department will set allowabl e reimbursement rates for PMPM based on a methodology approved by CMS in the Adult DD Waiver. The provide r can only bill the PMPM rate for the months services are actually provided for participants, The provider must provid e transition, training, and closeout services during the active agreement, at no additional cost to the Department. (7-1-25) 02. PMPM Payment Process Requirements. The PMPM payment must include all administrativ e costs, travel, transition, training, and closeout services. The Department will not pay for participants who do not hav e an SSP. For the purposes of PMPM payment, one (1) month must include all payroll batch dates within that specific calendar month. (7-1-25) 03. Readiness Review. The provider must complete a readiness review prior to billing for services. (7-1-25)