Support Brokerage and
Fiscal Intermediary Services

Our Support Brokers provide support and training to individuals and their Circle of Support regarding the ongoing decisions and tasks associated with self-direction and the services they can obtain under this model. 

This service ensures that costs of goods and services related to the self-direction plan are paid in accordance with plan guidelines and authorized budget. The FI is the employer of record, and the participant is the co-managing employer. This co-management style allows the participant along with his/her Circle of Support the freedom to choose the services and supports that are important to the individual. 

It also allows the individual to maintain the day-to-day management of their supports and services along with the people who provide them. The FI provides oversight and guidance in meeting Medicaid compliance standards consisting of hiring paperwork including background checks and all OPWDD trainings along with maintaining personnel files and processing payroll. It is also responsible for reviewing, paying and billing all authorized expenses. 

Contact:
Teneka Sylvia
Broker Department Supervisor
516-605-2391
tsylvia@acds.org

Marlene Grillo
Fiscal Intermediary
516-605-2391 ext. 112
mgrillo@acds.org

Erica Lepurage
Director of Community and Residential Services 
516 605-2391
elepurage@acds.org