PARTICIPANT/SELF DIRECTED SERVICES

Participant/Self Directed services are meant to give you flexibility and a range of control and responsibility over the goods and services that support your life in your home and community. You or your family member take on the role of managing your own services and supports. Think of it as the "Do It Yourself Plan".

Participant/Self Directed services are available to people who are elderly; who have an acquired brain injury; who have mental health concerns; with cognitive/intellectual disabilities; sensory impairments; or who are medically fragile.

Mains'l Services offers a full range of Participant/Self Directed Options. We would be honored to be your partner in maximizing your options. Our level of involvement will be determined by you and the option you choose.

The types of Participant/Self Directed Services available can vary by state. With each service option you receive a spending report, much like a bank statement, showing you how much you has been spent and how much is remaining based on your approved plan. Below are some common services options available throughout the nation.

• Fiscal Employer Agent ("payroll model" - we help you be the employer)
  Do you want to be an employer, who hires and trains employees to work with you or your loved one? If so, Mains'l Services, Inc. can act as your Fiscal Employer Agent (FEA). As your FEA, we walk with you through every step of the enrollment process with the state and federal governments, setting you up as a household employer. Don't be afraid-it's not as hard as it seems. It's cost effective, yet gives you lots of control over the funds available for you to use. We simply pay your employees and file necessary employer-related taxes on your behalf.

• Agency with Choice (we help you with it all)
  If you don't want to be the "employer," you can let Mains'l Services, Inc. take care of this responsibility, through the Agency with Choice option (AWC). We form a joint or dual employer relationship. You hire the people you want, train them, schedule their time, and supervise them. However, unlike the Fiscal Employer Agent model, employees are covered under Mains'l Services, Inc.'s liability insurances, including Worker's Compensation and Unemployment. In addition, you will receive enhanced support from Mains'l Services, Inc. around all supervisory functions.

• Fiscal Conduit (we pay your bills)
  If you do not have the need for an FEA or AWC provider you can choose the Fiscal Conduit option. We simply pay the bills for the goods and services you have used in your approved plan

Mains'l Services has proven systems that support you in managing your services including user friendly employee and employer handbooks, reimbursing expenses promptly, processing payroll accurately, as well as reporting information in a timely manner. These systems, along with our knowledgeable, experienced management staff, allow us to uphold our commitment to excellent customer service.

Funding Options
Participant/Self Directed Services are available through several funding streams, specific to your state or can be purchased with private pay funds. Our management staff is knowledgeable about funding sources and how to best maximize the resources available to you.

In addition, Mains'l Services, Inc. is also experienced in working with managed care organizations.

For more information, contact Stacy Roe at 763-416-9146 or sroe@mainsl.com, or Haley Tschida at 763-416-9135 or hmtschida@mainsl.com.