< Back List of FMS Providers: San Diego Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH Community Interface Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Languages: English Spanish Community Interface Services Payment Information: No Reimbursement Community Interface Services Contact Information: Christine Sheppard 760-729-3866 CSheppard@communityinterfaceservices.org Website: SEARCH Essential Pay Main Information: Services Available: Bill Payer Essential Pay Payment Information: No reimbursement Essential Pay Contact Information: Jessica Escalante 833-268-8530 contact@essentialpay.com FACT Family Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 15% Background check: All employees must do live scan TB Test Workplace physical COVID Vaccine required Sole Employer Insurance: Workers comp and liability through FACT No health insurance Co-Employer: Co-Employer Rate: 18-20% Background check: All employees must do live scan TB Test Workplace physical COVID Vaccine required Co-Employer Insurance: Workers comp and liability through FACT No health insurance Budget Report: Mail monthly statement at the end of the month. Wait List: 1-Jul. Maximum Budget Amount: No Cap FACT Family Payment Information: Invoice Time: Invoice direct deposit by 5th of the month paid by the 10th Invoice by 20th paid by the 25th Check last day of the month No Reimbursement FACT Family Contact Information: Spencer Ludgate 310-475-9620 (ext. 227) FMS@factfamily.org Home of Guiding Hands Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Home of Guiding Hands Payment Information: No reimbursement Home of Guiding Hands Contact Information: Kyle Jones 619-938-2853 fms@guidinghands.org Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH Ritz Vocational Management Main Information: Services Available: Bill Payer and Co-Employer Co-Employer Rate: 17.75% Languages: English Spanish Mandarin Maximum Budget Amount: $60,000 Ritz Vocational Management Payment Information: No reimbursement Ritz Vocational Management Contact Information: 833-748-9888 info@ritzfms.com Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH

< Back List of FMS Providers: Orange County Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Community Interface Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Languages: English Spanish Community Interface Services Payment Information: No Reimbursement Community Interface Services Contact Information: Christine Sheppard 760-729-3866 CSheppard@communityinterfaceservices.org Website: SEARCH Essential Pay Main Information: Services Available: Bill Payer Essential Pay Payment Information: No reimbursement Essential Pay Contact Information: Jessica Escalante 833-268-8530 contact@essentialpay.com GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH

< Back List of FMS Providers: Kern Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH Community Interface Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Languages: English Spanish Community Interface Services Payment Information: No Reimbursement Community Interface Services Contact Information: Christine Sheppard 760-729-3866 CSheppard@communityinterfaceservices.org Website: SEARCH Essential Pay Main Information: Services Available: Bill Payer Essential Pay Payment Information: No reimbursement Essential Pay Contact Information: Jessica Escalante 833-268-8530 contact@essentialpay.com Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH

< Back List of FMS Providers Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH Cambrian Homecare Main Information: Services Available: Bill Payer and Co-Employer Co-Employer: Co-Employer Rate: 25% Background check: All Employees must do live scan COVID Card or declination Insurance: Taxes Sick time Liability Workers comp: 30 hours per week qualify for health insurance Budget Report: Mail monthly statement at the end of the month. Wait List: 1-May Waitlist Requirements: All paperwork due by 15th of the month prior Maximum Budget Amount: No Cap Cambrian Homecare Payment Information: Paperwork Requirements for 1099: Business License Proof of Liability W-9 Invoice Time: Invoice by 5th of the month Processed by the 15th If submitted after the 5th, then processed last day of the month - can pay by check or credit card No Reimbursement Accepts credit card purchases EVV: GoFlexy Electronic Time Sheet: Yes Cambrian Homecare Contact Information: David Ellis 877-390-4300 davide@cfms1.com Community Interface Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Languages: English Spanish Community Interface Services Payment Information: No Reimbursement Community Interface Services Contact Information: Christine Sheppard 760-729-3866 CSheppard@communityinterfaceservices.org Website: SEARCH Essential Pay Main Information: Services Available: Bill Payer Essential Pay Payment Information: No reimbursement Essential Pay Contact Information: Jessica Escalante 833-268-8530 contact@essentialpay.com GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH Ritz Vocational Management Main Information: Services Available: Bill Payer and Co-Employer Co-Employer Rate: 17.75% Languages: English Spanish Mandarin Maximum Budget Amount: $60,000 Ritz Vocational Management Payment Information: No reimbursement Ritz Vocational Management Contact Information: 833-748-9888 info@ritzfms.com Tracy Stein Management Services Main Information: Services Available: Bill Payer Languages: English Tracy Stein Management Services Payment Information: No reimbursement Tracy Stein Management Services Contact Information: Danielle Robertson 916-287-9146 Danielle@Trustmgmtservices.com 24Hour Homecare Main Information: Services Available: Bill Payer and Co-Employer Wait List: Not taking new clients Languages: English Spanish 24Hour Homecare Payment Information: No reimbursement 24Hour Homecare Contact Information: 310-258-9411 wrciffice@24hrcares.com Time Zone: PST Website: SEARCH ARCC Center Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Languages: English Spanish ARCC Center Contact Information: Robert 866-488-6002 fms@arcccenter.org Website: SEARCH Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH FACT Family Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 15% Background check: All employees must do live scan TB Test Workplace physical COVID Vaccine required Sole Employer Insurance: Workers comp and liability through FACT No health insurance Co-Employer: Co-Employer Rate: 18-20% Background check: All employees must do live scan TB Test Workplace physical COVID Vaccine required Co-Employer Insurance: Workers comp and liability through FACT No health insurance Budget Report: Mail monthly statement at the end of the month. Wait List: 1-Jul. Maximum Budget Amount: No Cap FACT Family Payment Information: Invoice Time: Invoice direct deposit by 5th of the month paid by the 10th Invoice by 20th paid by the 25th Check last day of the month No Reimbursement FACT Family Contact Information: Spencer Ludgate 310-475-9620 (ext. 227) FMS@factfamily.org Home of Guiding Hands Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Home of Guiding Hands Payment Information: No reimbursement Home of Guiding Hands Contact Information: Kyle Jones 619-938-2853 fms@guidinghands.org Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH

< Back List of FMS Providers: Westside Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH Essential Pay Main Information: Services Available: Bill Payer Essential Pay Payment Information: No reimbursement Essential Pay Contact Information: Jessica Escalante 833-268-8530 contact@essentialpay.com FACT Family Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 15% Background check: All employees must do live scan TB Test Workplace physical COVID Vaccine required Sole Employer Insurance: Workers comp and liability through FACT No health insurance Co-Employer: Co-Employer Rate: 18-20% Background check: All employees must do live scan TB Test Workplace physical COVID Vaccine required Co-Employer Insurance: Workers comp and liability through FACT No health insurance Budget Report: Mail monthly statement at the end of the month. Wait List: 1-Jul. Maximum Budget Amount: No Cap FACT Family Payment Information: Invoice Time: Invoice direct deposit by 5th of the month paid by the 10th Invoice by 20th paid by the 25th Check last day of the month No Reimbursement FACT Family Contact Information: Spencer Ludgate 310-475-9620 (ext. 227) FMS@factfamily.org Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH Ritz Vocational Management Main Information: Services Available: Bill Payer and Co-Employer Co-Employer Rate: 17.75% Languages: English Spanish Mandarin Maximum Budget Amount: $60,000 Ritz Vocational Management Payment Information: No reimbursement Ritz Vocational Management Contact Information: 833-748-9888 info@ritzfms.com 24Hour Homecare Main Information: Services Available: Bill Payer and Co-Employer Wait List: Not taking new clients Languages: English Spanish 24Hour Homecare Payment Information: No reimbursement 24Hour Homecare Contact Information: 310-258-9411 wrciffice@24hrcares.com Time Zone: PST Website: SEARCH

< Back List of FMS Providers: Tri-Counties Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH Essential Pay Main Information: Services Available: Bill Payer Essential Pay Payment Information: No reimbursement Essential Pay Contact Information: Jessica Escalante 833-268-8530 contact@essentialpay.com GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH 24Hour Homecare Main Information: Services Available: Bill Payer and Co-Employer Wait List: Not taking new clients Languages: English Spanish 24Hour Homecare Payment Information: No reimbursement 24Hour Homecare Contact Information: 310-258-9411 wrciffice@24hrcares.com Time Zone: PST Website: SEARCH GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH

< Back List of FMS Providers: Valley Mountain Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH

< Back List of FMS Providers: South Central LA Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH Cambrian Homecare Main Information: Services Available: Bill Payer and Co-Employer Co-Employer: Co-Employer Rate: 25% Background check: All Employees must do live scan COVID Card or declination Insurance: Taxes Sick time Liability Workers comp: 30 hours per week qualify for health insurance Budget Report: Mail monthly statement at the end of the month. Wait List: 1-May Waitlist Requirements: All paperwork due by 15th of the month prior Maximum Budget Amount: No Cap Cambrian Homecare Payment Information: Paperwork Requirements for 1099: Business License Proof of Liability W-9 Invoice Time: Invoice by 5th of the month Processed by the 15th If submitted after the 5th, then processed last day of the month - can pay by check or credit card No Reimbursement Accepts credit card purchases EVV: GoFlexy Electronic Time Sheet: Yes Cambrian Homecare Contact Information: David Ellis 877-390-4300 davide@cfms1.com GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH

< Back List of FMS Providers: Redwood Coast Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes Ritz Vocational Management Main Information: Services Available: Bill Payer and Co-Employer Co-Employer Rate: 17.75% Languages: English Spanish Mandarin Maximum Budget Amount: $60,000 Ritz Vocational Management Payment Information: No reimbursement Ritz Vocational Management Contact Information: 833-748-9888 info@ritzfms.com Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH

< Back List of FMS Providers: San Andreas Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH

< Back List of FMS Providers: North Bay Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH

< Back List of FMS Providers: North LA Acumen Main Information: Services Available: Bill Payer and Sole Employer Sole Employer Rate: 14.80% Waitlist Requirements: Signed Budget and Spending Plan Then 30 Days Languages: English Spanish Maximum Budget Amount: $500,000 Acumen Payment Information: Accepts credit card purchases through one time credit card payment or via ACH/direct deposit/check. Acumen Contact Information: Yvette Torres 424-210-8810 YvetteT@accumen2.net Time Zone: PST Website: SEARCH Essential Pay Main Information: Services Available: Bill Payer Essential Pay Payment Information: No reimbursement Essential Pay Contact Information: Jessica Escalante 833-268-8530 contact@essentialpay.com Mains'l Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 16.5%, parent employee: 4.85% Background check: Only those required by law must do live scan - employee's responsibility Sole Employer Insurance: Offers workers comp and liability through Mains'l Employment taxes Sick time No health insurance Co-Employer: Co-Employer Rate: 17.50% Background check: All employees and must do live scan - employee pays cost COVID record Co-Employer Insurance: Offers workers comp and liability through Mains'l Health insurance after 30 or more hours per week after 90 days of employment; employee chooses if they will opt on or not; participant pays 100% Budget Report: Monthly by the 15th; sent directly to the participant (will not send to IF) Wait List: 2023 Waitlist Schedule: SDP Start Date: Wait list Open Date: 7/1/2023 8/1/2023 9/1/2023 10/1/2023 11/1/2023 12/1/2023 2/1/2023 3/1/2023 4/3/2023 5/1/2023 6/1/2023 7/6/2023 Waitlist for each month will remain open until we have reached our maximum capacity for that month. Spaces on our list will be filled on a first come first served basis. Each participant will be added individually to our list once all required information has been received, we do not allow for place holders or swaps. Waitlist Requirements: Consultation on as needed basis 2 months prior enrollment process Send spending plan and budget to FMS by 15th of the month prior If you delay submitting staff paperwork, you can enroll but staff will start when it's processed Other Information: 99: Started process Languages: English Service Codes are not supported in co-employer but nursing is available in bill payer and sole employer Maximum Budget Amount: No Cap Mains'l Payment Information: Paperwork Requirements for 1099: W-9 Optional direct deposit or check If vendor uses social security number, they will check to make sure they are not employee Invoice Time: Invoices forwarded from participant or sent from vendor with participant signature Invoices are processed on a weekly basis. Invoices received by 5pm on Tuesday and less than $500 are paid the same week on Friday. Invoices received by 5pm on Tuesday and between $500-$9,999 are paid 3 weeks out on Friday. Invoices received by 5pm on Tuesday and more than $10,000 are paid 5 weeks out on Friday. <$500 three weeks Offers reimbursement for parent of an adult only Accepts credit card purchases (will not leave for reoccuring) Accepts gift cards if limited to single product or service listed in spending plan EVV: Already part of system Electronic Time Sheet: Yes Mains'l Contact Information: Stephanie Burggraff Jason Bergquist 866-767-4296 SBurggraff@mainsl.com JMBergquist@mainsl.com Time Zone: CST Website: SEARCH Aveanna Support Services Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer (with nursing through home health agency only) Sole Employer: Sole Employer Rate: 14.25% + 3.3% sick time No Health Insurance Co-Employer: Co-Employer Rate: 13.6% + 3.3% sick time Background check: All Employees and vendors must do live scan No Health Insurance Budget Report: Uploaded on platform on 8th of the month; Login to platform to get report; Real time data. Wait List: 1-Aug. Waitlist Requirements: Signed Budget Draft Spending Plan Will do 30 minute consult Requires everyone to be onboarded and hired before the 10th of the month *prior* to their start date - i.e. no later than 3/10/2023 for 4/1/2023 start date Other Information: Languages: English Spanish Vietnamese Mandarin Cantonese Trieu Chau Service Codes Not Supported: No clinical needs (nursing, G-Tubes, etc.) - they will only provide support in the bill payer model, not co-employer. Live-in caregiver You must use Aveanna Spending Plan. Maximum Budget Amount: $150,000 - $200,000 (requires review) Aveanna Support Services Payment Information: Paperwork Requirements for 1099: ABC Test Vendor Enrollment Form Business License or Certificate W-9 Direct Deposit Form HCBS Compliant (from Regional Center - 2-4 weeks Invoice Time: Invoice Participant Responsibility 45 business days to process payment (do not accept invoice directly from vendor) No Reimbursement Accepts credit card purchases in some cases Electronic Time Sheet: Pays Weekly Aveanna Support Services Contact Information: Beatriz Casas and Olivia 866-876-3038 Beatriz.Casas@Aveanna.com Other Phone Numbers: 310-215-1730 (traditional) 408-288-6701 (San Jose) Other Contact Emails: Northern California: SJSDP@aveanna.com Southern California: FMSInfo@phs-west.com SDP Spending Plan Submission: sjspendingplan@aveanna.com SDP Invoice Submission: sjsdpinvoices@aveanna.com SDP enrollment Inquiries: sdpenrollment@aveanna.com Time Zone: PST Website: SEARCH GT Independence Main Information: Services Available: Bill Payer, Sole Employer and Co-Employer Sole Employer: Sole Employer Rate: 12.75% + WC and sick time Background check: If not providing personal care, employer may have option to do GT background. Sole Employer Insurance: Can use GT workers comp and liability or find workers comp policy. Does not offer health insurance (but can reimburse employees). Co-Employer: Co-Employer Rate: 19.5%; covers federal taxes, state taxes, worker's compensation, sick time. Background check: All Employees and vendors must do live scan - GT no longer pays costs. Co-Employer Insurance: Offers health insurance - full time employee chooses policy after 90 days, part time employees can get insurance after 1 year of work. Employer pays 100% Participant must update spending plan. Budget Report: Portal - can print out their own spending summary. Wait List: 1-Jun. Waitlist Requirements: Must have IPP Certified budget and draft spending plan Must be turned in by the 15th to start on the 1st. GT holds meeting; if you are a good fit, they will provide start date. Other Information: 99: Not started/ WSRC home Languages: English Spanish Russian Armenian Tagalog Vietnamese Mandarin Cantonese Trieu Chau Korean Maximum Budget Amount: No Cap GT Independence Payment Information: Paperwork Requirements for 1099: Enrollment process through docusign W-9 Disclose method of payment - pay check out of state Purchase of service agreement Invoice Time: Email invoice Vendor sends invoice to participant in a PDF or can submit invoice if signed by participant Invoice by 1st and 16th of the month, payment by 10th and 26th No Reimbursement Does not accept credit card purchases EVV: Already in system Electronic Time Sheet: Yes GT Independence Contact Information: Terrasel Jones 877-659-4500 TJones@GTIndependence.com Jmercado@gtindependence.com Time Zone: PST Website: SEARCH