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DCI is designed to accommodate both Service Providers and Fiscal Intermediaries through two modes, commonly referred to as SP mode and FI mode. Each organization will use the mode that best fits the needs of their company. If an organization runs both a service provider and fiscal intermediary, they may have two instances of DCI. In the DCI Help Center all articles are applicable for both modes, except the articles listed under Fiscal Intermediary - FI Mode.
Service Provider
Service Providers receive funding (public or private funds) to provide direct care services
Examples of services provided by a service provider are residential (24 hour care), vocational, respite, in-home care, day program, professional parent or foster, etc.
Service Providers employ, manage, and pay the care providers
Service Providers bill the funding source for reimbursement-based services provided
Service Providers may pay their employees at a different rate than the rate the services are billed at
Fiscal Intermediaries
Fiscal Intermediaries facilitate the billing and payroll for individuals (or their guardian) eligible for services and choose to self-direct their own care
For example, the individual (or their guardian) receiving services (commonly referred to as a participant) may choose their own employer or employees
Participants may be their own employer
Employers are responsible for hiring and managing employees and service provision
Fiscal Intermediaries are responsible for paying the employees and billing the funding source
Fiscal Intermediaries bill exactly what they pay the care providers
Key Differences Between SP Mode and FI Mode
Feature | SP Mode | FI Mode |
Supervisor Role | Available | Available |
Employer Role | Not Available | Available |
Scheduling Module | Available and managed by the supervisor role | Available but not applicable as employers can not manage |
Service Type | All Service Types Available | All Service Types Available |
Ability to select different OT rates based on the relationship between the employee and client | Not Available | Available |
Dollar Based Authorizations | Available | Available |
Supervisor vs Employer Privilege's in DCI
Supervisor
Edit employee and client details
Add employee and client service accounts
Add, edit approve, reject, and cancel employee punches and client absentee and attendance punches
Add notes and attachments
Add and modify employee and client schedules
Run reports
Employer
Add, edit, approve, reject, and cancel employee punches
Add notes and attachments
Related articles
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