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Finance Handbookv1.0 ยท Effective June 1, 2026
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๐Ÿ’ฐ
Finance Department Handbook

Verify first.
Document everything.
Protect every dollar.

For the Finance Director, the Quality Assurance Professional, and the Payroll Administrator. Every ledger, every invoice, every paycheck is part of someone's life.

7 chapters
49 policies
v1.0 ยท June 1, 2026
โ€œWhen something goes wrong, we tell the truth and tell it early.โ€
โ€” Our Values in Finance
๐Ÿ‘‹ Welcome

Welcome to the Finance Department

Heightened fiduciary and compliance obligations. Every transaction, record, and decision must meet the standard.

This handbook contains the policies that govern the Finance Department at Abilities, LLC. It applies to:

  • The Finance Director
  • The Quality Assurance Professional, jointly supervised by the Director of Residential Operations and the Finance Director
  • The Payroll Administrator โ€” this role lives within the Finance Department and reports to the Finance Director
  • Any other staff with delegated financial responsibilities

This handbook works alongside the Abilities, LLC Employee Handbook. The Employee Handbook covers universal policies that apply to all staff. This handbook provides Finance-specific operational standards.

Finance Department staff operate under heightened fiduciary and compliance obligations. Every financial transaction, record, and decision must meet the standards set by SSA, DMH, MMAC, and MO HealthNet. Errors in individual financial management or Medicaid billing are not simply administrative problems โ€” they carry regulatory, legal, and reputational consequences for the agency and for the individuals we serve.

๐Ÿ“Œ
This handbook is a living document. Abilities, LLC reserves the right to update, revise, or replace policies at any time. Employment at Abilities, LLC is at-will. This handbook is not a contract of employment.
โš–๏ธ
Organizational Compliance & Legal Standing. The Executive Director is responsible for maintaining the agency's good standing with all regulatory bodies, including business licenses, tax filings, Medicaid provider enrollment, DMH certification, and insurance policies. The Finance Director pays insurance premiums and all related compliance bills on time so coverage and certifications do not lapse.
1

Finance & Tiered Supports

Missouri DMH's Tiered Supports framework shapes how the Finance Department serves every individual. Universal protection is the foundation. Targeted support is added when the situation calls for it. Intensive coordination is reserved for the most complex cases.

1 Tier 1 ยท Universal Financial Protection

What every individual gets every month, without exception.

  • Complete separation of their funds from agency funds
  • Accurate real-time ledgers and monthly reconciliation
  • Verification before every deposit entry
  • Receipt documentation for every transaction
  • Full transparency to guardians
2 Tier 2 ยท Targeted Financial Support

Some individuals need additional planning.

  • Individuals for whom Abilities serves as SSA Organizational Representative Payee
  • Individuals whose Christmas funds are topped up by the agency
  • Individuals whose guardian payment timing requires Abilities to front PSA from the business checking account
3 Tier 3 ยท Intensive Financial Coordination

The most complex situations.

  • Finances subject to SSA audit or investigation
  • Changing payee status (moving out, regaining capacity, guardian assuming, death)
  • Financial supports intersecting with rights restrictions requiring due process
2

Our values in Finance

๐Ÿค

Integrity. Every transaction is documented accurately at the time it happens. No deposit is entered before it is verified against the bank. Errors are corrected through transparent edits, never by deletion. When something goes wrong, we tell the truth and tell it early.

Community. Coordination with ISL Management, RPMs, the DRO, HR, and the Executive Director is part of the daily job, not an interruption to it. Guardians are partners โ€” they receive accurate monthly reports, timely responses, and the respect of being kept informed.

Empathy. The numbers represent people's lives. Time-sensitive errors โ€” a paycheck shortage, a missed PSA disbursement, an unfunded household card โ€” are fixed the same day, not the next cycle.

3

Physical requirements of Finance roles

Finance Department work is primarily desk-based, with extended periods at a computer and on the phone. The physical demands are real even when the work looks quiet.

  • Sitting: extended periods at a desk, typically 6 or more hours per day
  • Standing and walking: movement between office spaces, mail and filing areas, and the bank
  • Lifting: up to 25 pounds, including boxes of records, supplies, and office equipment
  • Vision: sustained computer screen use, reading detailed financial records and handwritten receipts
  • Hearing: phone calls with guardians, vendors, banks, and government agencies
  • Fine motor: typing, writing, signing checks, and handling paperwork throughout the day

Reasonable accommodations are available through Human Resources. See the Universal Employee Handbook for the full accommodation process.

1

Individual Financial Accounts

The three account types used to manage individual finances, the rights of the individuals we serve, and the operational standards for account administration and recording.

๐Ÿงพ Policy F1.1

Individual Financial Rights

Every individual has the right to control, access, and account for their own money. Limiting access is a rights restriction.

Abilities, LLC manages individual finances using three distinct account types. They differ in ownership, purpose, and governing rules, and must never be combined or co-mingled.

AccountAlso CalledWhat It ContainsWho Owns It
Personal Spending AccountPSAThe individual's personal discretionary spending moneyThe individual, always
Room and Board AccountR&BRestricted-use funds for rent, utilities, groceries, and household items onlyHeld by Abilities in trust for the individual
Payee AccountPayeeReceives the individual's SSA benefits; the source for PSA, R&B, and other authorized expenses each monthThe individual. Abilities acts as fiduciary when serving as SSA Organizational Representative Payee (Chapter 2)
  • Every individual receiving residential services has a PSA โ€” it is required
  • Every individual receiving residential services has an R&B account โ€” it is required
  • Individuals for whom Abilities serves as SSA Organizational Representative Payee also have a Payee Account
1

The rights

  • The right to access their personal funds when requested, within reasonable logistical constraints
  • The right to spend PSA funds on any legal items of their choosing โ€” no staff approval is required for individual spending decisions
  • The right to receive an accurate accounting of their account balance upon request
  • The right to have their funds kept separate from agency funds and from any other individual's funds
  • The right to receive all required staff assistance in accessing or using their funds, without undue delay or restriction
2

Rights restrictions

๐Ÿšง
Limiting an individual's access to their personal funds for any reason is a rights restriction. It must be documented in the PCSP with due process, approved through DMH, and treated as a restrictive procedure.
โœ… Policy F1.2

The Verification Standard

The most important rule in this handbook. Apply it without deviation.

๐Ÿ”
The Standard: No deposit may be entered into any ledger in SetWorks before the actual transaction has been verified against the bank statement. This applies to every entry, every time.
1

What verification means

Before entering a deposit in any ledger, the person making the entry must:

  • Open the actual bank statement or current bank account view
  • Locate the specific transaction
  • Confirm the amount on the bank matches the amount being entered
  • Confirm the date the transaction posted matches the date being entered
  • Confirm the source matches expectations (SSA, SSI, employer, guardian, or other)
  • Only then enter the deposit in SetWorks
2

Why this standard exists

  • SSA and SSI deposits do not always arrive on the same day; amounts change due to cost-of-living adjustments, benefit recalculations, overpayment recoveries, and back-pay events; deposits are occasionally reversed and reposted
  • Without verification at the moment of entry, the ledger drifts away from the bank and the month-end reconciliation breaks
  • Verifying at the moment of entry takes less than a minute. Tracking down a reconciliation error a month later takes hours and creates an audit trail of corrections that auditors notice
๐Ÿ’ต Policy F1.3

Personal Spending Account (PSA)

The individual's discretionary money. Disbursed on the 1st of every month โ€” cash, check, or PEX card.

The PSA holds the individual's personal discretionary spending money. It belongs to the individual, always. PSA is disbursed to the individual on the 1st of every month.

1

How PSA is delivered

Every individual chooses how they receive their PSA:

  • Cash โ€” picked up at the office by the individual and/or their management team
  • Check โ€” written directly from the Payee Account, payable to the individual or their guardian
  • PEX card โ€” loads automatically on the 1st in the approved PSA amount. PEX is only offered to individuals who want it and can use it; it is not automatic for everyone with payee services
2

Timing

MethodWhen Issued
PEXAuto-loads on the 1st of every month, including weekends and holidays
Cash & check (weekday 1st)Issued to the individual on the 1st
Cash & check (weekend or holiday 1st)Issued on the business day before the 1st
3

PEX load documentation (Abilities is payee)

  • The Quality Assurance Professional screenshots each monthly PEX load on the 1st
  • The screenshot serves as the receipt for the load
  • It is uploaded to the corresponding PSA expense entry in the Payee Ledger in SetWorks
4

Custody, entry & oversight (Abilities is payee)

  • PSA is issued as cash (picked up at the office) or loaded on the individual's PEX card
  • ISL Management safeguards PSA funds, retains all receipts, and enters PSA transactions in the SetWorks ledger
  • The Finance Director does not enter PSA transactions โ€” Finance reviews PSA ledgers only for audit or investigation
  • RPMs review PSA ledgers monthly
5

When Abilities is NOT payee

๐Ÿ—“๏ธ
PSA is always disbursed on the 1st. If the guardian's payment has not yet arrived by the 1st, Abilities fronts the PSA from the business checking account. Reconciliation occurs once the guardian's payment is received. The individual is never made to wait for their PSA because of guardian payment timing.

The R&B invoice to the guardian lists R&B and PSA as two separate line items. The guardian sends one combined payment into the business checking account; the R&B portion is entered as a deposit in the R&B ledger and the PSA portion is reconciled against the PSA already disbursed.

๐Ÿงฎ
Example. Invoice is R&B $650 + PSA $50. On the 1st the individual receives their $50 PSA, even if the guardian's $700 payment has not arrived. Once the $700 is received, $650 is recorded as a deposit in the R&B ledger and $50 reconciles against the PSA already given.
๐Ÿ  Policy F1.4

Room and Board Account (R&B)

Restricted-use funds for rent, utilities, groceries, and household items only. One invoice per individual, every month.

R&B funds are held by Abilities in trust for the individual and may only be used for rent, utilities, groceries, and household items.

1

The House PEX card

Each ISL has a designated House PEX card holding the pooled grocery and household allocation drawn from each resident's R&B funds. It is an operational mechanism, not a separate account type. The House Manager is custodian; funds on the card belong to the individuals they were allocated from. See F3.1 for funding cycle and permanence rules.

2

Invoicing

  • A Room and Board invoice is required for every individual every month
  • Invoices are generated in QuickBooks โ€” never handwritten or rolled forward from a prior month
  • Standard format: R&B and PSA combined. Detailed format (e.g., Johnson County Public Administrator): itemized line entries
  • For payee individuals, the invoice is uploaded as the receipt in the Payee Ledger expense entry in SetWorks
  • The R&B invoice deadline is 5:00 PM on the 3rd of the month (see F3.1)
3

Rent, utilities & shared items

  • Rent: every individual must have a monthly rent deduction matching the approved ISL budget; the merchant on the ledger entry is always "Abilities, LLC"
  • Utilities: divided evenly among housemates unless an alternative allocation is approved; bills labeled with house name and per-person amount; per-person allocations must equal the full bill; uploaded once per individual
  • Groceries & shared items: receipts must list all individuals sharing the expense, costs evenly allocated, each individual gets a separate ledger entry for their share
๐Ÿ“ฅ Policy F1.5

Income Recording

Two entries: in, then out. Every dollar received is recorded as a deposit before any of it goes back out.

Every dollar received on behalf of an individual whose payee is Abilities, LLC must be recorded as a deposit in the appropriate ledger before any of that money goes back out. This includes, without exception:

  • Social Security (SSA) benefits
  • Supplemental Security Income (SSI) benefits
  • Cash gifts from family or others
  • Tax refunds
  • Any other external income source received at the agency on behalf of the individual
๐Ÿ”
Two entries: in, then out. After income is recorded as a deposit, when the funds are given to the individual or spent on their behalf, the transaction is recorded again as a disbursement.
๐Ÿ“ฆ Policy F1.6

Hard Household Items

Items that can't be divided. One owner, one receipt, charged to one R&B ledger.

Some household items cannot be reasonably divided among multiple individuals โ€” hard items. Examples: vacuums, microwaves, small appliances, bedding and linens, furniture, electronics, and durable household equipment.

  • Every hard item must be owned by one individual โ€” shared ownership is not permitted
  • The owning individual must be clearly identifiable in SetWorks
  • Receipts for hard items may not be split or allocated across multiple individuals
  • Hard items must be purchased on a stand-alone receipt, or on a receipt that includes only items for that individual
  • The full cost is charged to the owning individual's R&B ledger and entered into their Inventory Record in SetWorks
  • No reimbursement or buy-out arrangements are permitted among individuals
๐Ÿšซ Policy F1.7

Prohibited Conduct

May result in immediate termination and referral to SSA, DMH, or law enforcement.

โ›”
The following is strictly prohibited and may result in immediate termination and referral to SSA, DMH, or law enforcement:
  • Using individual funds for agency expenses, staff expenses, or any purpose that does not benefit the individual
  • Co-mingling individual funds with agency funds or another individual's funds
  • Falsifying receipts, ledger entries, or financial records of any kind
  • Denying or unreasonably delaying an individual's access to their personal funds
  • Borrowing from an individual's account under any circumstance
  • Purchasing items for an individual without proper documentation
  • Delaying receipt uploads to SetWorks
  • Splitting hard item receipts across multiple individuals
2

SSA Representative Payee Compliance

When Abilities serves as SSA Organizational Representative Payee, the agency accepts federal fiduciary obligations. This chapter governs account setup, fund use, R&B payment, reporting, taxes, gifts, annual reports, and status changes.

๐Ÿฆ Policy F2.1

Payee Account Setup and Fund Use

Improper use may result in removal as payee and federal criminal penalties. Direct purchase first; reimbursement is a last resort.

1

Account setup

  • Checks: issued in the individual's name and Abilities, LLC's name as organizational payee
  • Debit card: issued in the individual's name and Abilities, LLC
  • Bank: Central Bank of Missouri
  • Separation: fully separated from agency operating accounts
2

Permissible & prohibited uses

Payee funds may be used for any expense that benefits the individual: food and dining out, clothing, entertainment/tickets/community activities, personal items, room and board (as an authorized deduction), and medical/dental not covered by insurance.

๐Ÿ’ก
The Finance Director should support individuals in spending down excess balances on personal items, leisure, and quality of life, rather than accumulating funds beyond SSA resource limits ($2,000 for SSI recipients). When an individual's payee account is close to exceeding the resource cap, the Finance Director notifies the individual's RPM, who notifies the individual and helps them spend their funds the way they want.
โ›”
Prohibited: agency operating expenses, payroll, or overhead under any circumstance; purchases that benefit staff, the agency, or any other individual; any purpose that does not serve the individual's current or future needs.
3

Required purchase method & reimbursement

Purchases must be made directly from the individual's Payee Account whenever possible, using the payee debit card or check. Reimbursement to Abilities is a last resort, not a standard practice.

  • Reimbursement is only permitted when a direct purchase was not available or feasible
  • Reimbursement must be exact โ€” the expense and reimbursement amounts must match precisely. No batching, rounding, or delay
  • May be made by check or Central Bank transfer (a transfer requires a memo note explaining the purpose)
  • Must be approved by the Finance Director
4

Receipt handling & R&B under payee status

  • All payee receipts are labeled with the individual's name and the word "Payee"; the QAP uploads them to the Payee Ledger in SetWorks
  • The authorized R&B amount may be deducted monthly but must not exceed SSA-allowable limits
  • The R&B deduction may not reduce personal spending below the approved PSA amount
  • R&B is documented as a housing cost in the Payee Ledger, not a service fee
  • The agency may not charge the individual separately for services already covered by Medicaid waiver funding
๐Ÿงฎ Policy F2.2

Payee R&B Payment Procedure

Paid from the payee account to the agency by the 10th. Three numbers, one value.

For payee individuals, R&B is paid from the individual's payee account to the Abilities business checking account by the 10th of every month.

1
Confirm the R&B invoice was generated in QuickBooks and reflects the approved amount.
2
Verify sufficient funds in the payee account against the actual bank, not assumption.
3
Print the R&B check from the payee account, payable to Abilities, LLC, in the exact invoice amount, and sign it.
4
Deposit the check into the Abilities business checking account.
5
Record the deposit in the individual's R&B ledger the same day, in the exact invoice amount.
6
Record the corresponding disbursement in the individual's payee ledger the same day, in the exact invoice amount.
7
Confirm three numbers match: invoice amount, check amount, R&B deposit amount. Complete by the 10th.
๐ŸŸฐ
Invoice, deposit, and check must match exactly. Three numbers, one value. No rounding, no shortcuts. One invoice per individual per month, one deposit per invoice, one check per invoice. Multiple months may not be combined โ€” if a month was missed, it gets its own invoice and its own payment, dated correctly.
1

When a payee individual cannot pay R&B in full

  • Do not skip the payment
  • Do not partial-pay without documentation
  • Do not roll the unpaid balance into next month's invoice
  • Notify the Executive Director the same day

The Executive Director and Finance Director determine the action, documented in writing in the payee ledger and retained for audit. Acceptable actions: partial payment with a documented note, holding the invoice with documented authorization, or other actions consistent with SSA payee rules.

๐Ÿ“ค Policy F2.3

Monthly Reports to Guardians

A monthly accounting of every individual's financial activity.

  • Residential Program Manager: sends the individual's PSA Ledger for the previous month to the guardian by the last day of the current month
  • Finance Director: answers specific questions and handles problems or issues that arise from the report
๐Ÿงพ Policy F2.4

Individual Tax Filing

The Finance Director manages tax filing for every individual for whom Abilities serves as payee.

  • Determines which individuals require a personal tax filing based on income, benefits, or SSA/IRS requirements
  • Prepares and submits individual tax filings on or before annual IRS deadlines
  • Files the Missouri Renters Rebate by April 1 each year for all payee individuals
  • Maintains organized tax records (filed returns, IRS/state correspondence, proof of submission)
  • Deposits approved tax refunds into the individual's PSA, provided it will not push them over SSA resource limits
  • Assists individuals in planning how to use refunds, consistent with their preferences and SSA compliance
๐ŸŽ Policy F2.5

Individual Christmas Gift Funding

Every individual receives Christmas gifts โ€” at least $150, every year, without exception.

1

Funding

  • By the first week of November, the Finance Director verifies available funds for each individual
  • For individuals with a guardian or external payee, the Finance Director contacts that party to request holiday funds by a specified date
  • The individual's SSA Payee account, savings, or personal discretionary funds are always the first source
  • Every individual receives at least $150 toward Christmas gifts. If available funds are less than $150, the agency tops up the difference to reach $150
2

Shopping & documentation

  • Shopping is done by the individual's team โ€” staff who know the individual well
  • All purchase receipts go to the Office Manager to confirm each item was purchased, received, and gifted
  • All purchases completed by December 1. Every individual receives Christmas gifts, without exception
๐Ÿ“‘ Policy F2.6

Annual SSA Rep Payee Report

SSA requires an annual accounting report for each beneficiary.

  • Completes and submits all required SSA annual payee reports by SSA deadlines
  • Ensures each report covers payee account income and how it was spent during the reporting year
  • Retains all submitted reports and supporting documentation for a minimum of seven years
  • Responds promptly to any SSA follow-up inquiries or audit requests
๐Ÿ”„ Policy F2.7

Change in Payee Status

The Finance Director notifies SSA promptly when status changes.

  • The individual moves out of an Abilities, LLC ISL
  • The individual regains the capacity to manage their own funds
  • A legal guardian or other party assumes financial management responsibility
  • The individual passes away โ€” SSA must be notified immediately, and any benefits received after the date of death must be returned
3

Payee Account Administration

The operational mechanics of maintaining individual payee accounts: the monthly funding cycle, ledger requirements, PEX card management, reconciliation, discrepancy resolution, and Finance Department roles.

๐Ÿ“… Policy F3.1

Monthly Funding Cycle

Hard deadlines. Missing one creates a compliance issue and disrupts the household.

1

Monthly deadline calendar

DateTimeActionOwner
1st8:00 AMPSA PEX cards auto-load for every individual on the PEX optionPEX system (auto)
1st8:00 AMHousehold PEX cards loaded for every houseFinance Director
1st (or business day before if weekend/holiday)โ€”PSA cash and checks ready for distributionFinance Director
1stDay of loadPEX load screenshots taken and uploaded to SetWorks ledger entriesQuality Assurance Professional
3rd5:00 PMAll R&B invoices generated in QuickBooks and sent to guardiansFinance Director
10thEnd of dayPayee R&B checks printed, signed, and deposited into agency checkingFinance Director
Following month10 business daysMonthly reconciliation and close-out completeFinance Director
2

PSA funding

Every individual's PSA must be available on the 1st (PEX, cash, or check, per their choice). Checks are written from the individual's payee account, payable to the individual, and never pass through any Abilities business account.

3

Household PEX card funding

On the 1st by 8:00 AM, the Finance Director transfers the full monthly allocation to the House Manager's household PEX card.

๐Ÿ”’
Household funds are permanent once transferred. Once loaded, that money belongs to the individuals it was allocated from. It cannot be removed, reduced, or trued up against a target balance. If a card already has a balance from a prior month, transfer the full new month's allocation on top of it โ€” the balance accumulates and that is correct. Transfer the full allocation, every month, on the 1st, by 8:00 AM. Do not skip a month because the card already has money on it.
4

R&B invoicing & payee R&B payment

  • Every R&B invoice is generated in QuickBooks and sent to the guardian/external payee no later than 5:00 PM on the 3rd, for every individual receiving residential services regardless of whether Abilities is payee
  • For payee individuals, the invoice still generates and is retained internally as the source document for the R&B payment
  • For payee individuals, the Finance Director prints, signs, and deposits the R&B check from the payee account into agency checking no later than the 10th (full procedure in F2.2)
๐Ÿ“š Policy F3.2

Ledger Maintenance

SetWorks ledgers are the working record. Accurate, current, and reconcilable to the bank at all times.

1

Account structure & who maintains what

  • All payee funds are held in accounts designated for individual use, fully separate from agency operating accounts
  • Each individual has a dedicated SetWorks ledger and a corresponding QuickBooks tracking record maintained by the Finance Director
  • Physical cash at an ISL is stored in a secure, locked location accessible only to authorized staff
  • SSA Payee client debit cards are stored with the Office Manager; individuals check out their card and return it with a receipt, turned in to the QAP
  • The QAP maintains payee and R&B ledgers; ISL Management makes PSA ledger entries
2

Timing & corrections

  • Payee and R&B ledger entries are made in real time, not reconstructed from memory or receipts at month end
  • PSA ledger entries follow the deadline in F5.2
  • Financial records cannot be deleted โ€” errors are corrected by editing the existing entry
  • If a ledger entry contains an error and must be zeroed out, that entry may be updated and reused for a future transaction
3

Every ledger entry must include

  • Date of transaction
  • Vendor name
  • Amount and updated running balance
  • Purpose or description
  • Name of the staff member processing or documenting the transaction
  • Receipt reference, uploaded to SetWorks
๐Ÿ’ณ Policy F3.3

PEX Card Management

The primary mechanism for individual and household spending. Managed by the Finance Director.

  • The Finance Director maintains active PEX cards for all individuals authorized to use agency-supported spending accounts
  • PEX cards are issued when an individual elects the PEX option and is able to use it
  • Balances are kept sufficient each month to cover groceries, personal items, community outings, clothing, and other authorized expenses
  • The Finance Director reviews PEX activity regularly to ensure purchases reflect the individual's needs and preferences
  • PEX transactions are reconciled monthly and aligned with R&B ledgers, SSA Payee accounts, and personal spending records
  • Supporting documentation (receipts, notes, balance and top-up records) is uploaded to SetWorks by the QAP
  • PEX cards are terminated promptly when services end, a card is lost or compromised, or continued use is no longer appropriate
โš–๏ธ Policy F3.4

Monthly Reconciliation

The Finance Director reconciles every individual payee account, every month.

  • Compare all ledger entries for the month to supporting documentation โ€” receipts, deposit records, and bank statements
  • Verify the closing balance matches the running ledger and the associated bank account balance
  • Confirm the individual's full PSA was disbursed each month and was not reduced by R&B deductions or other charges
  • Confirm that room and board deductions are accurate and within authorized limits
๐Ÿ”Ž Policy F3.5

Discrepancy Resolution

Identify what happened, correct it transparently, document the resolution for audit.

Anyone who identifies a discrepancy documents it and notifies the Finance Director the same day. If the Finance Director is the subject of the discrepancy, notification goes to the Executive Director instead.

  • The Finance Director investigates, documents findings, and corrects the record with a transparent notation
  • Same-day notification to the QAP or other staff involved
  • Same-week correction in SetWorks โ€” edit the existing entry; never delete
  • Material discrepancies (including any involving SSA-restricted funds, and any the Finance Director determines material) require same-day notification to the Executive Director
  • Any discrepancy that cannot be explained and reconciled is escalated to the Executive Director for determination
๐Ÿ‘ฅ Policy F3.6

Finance Roles and Responsibilities

Who does what across the Finance Department's operational roles.

RoleResponsibilities
Finance DirectorOversees household PEX loads on the 1st. Maintains QuickBooks tracking for all payee accounts. Reconciles accounts monthly. Manages PEX cards. Oversees all payee compliance. Signs off on all corrections. Generates and sends R&B invoices by 5:00 PM on the 3rd. Prints, signs, and deposits payee R&B checks by the 10th.
Quality Assurance Professional (QAP)Maintains payee and R&B ledgers in SetWorks. Uploads all receipts and PEX load screenshots. Processes payee transactions. Reports discrepancies to the Finance Director the same day. Jointly supervised by the DRO and the Finance Director.
Payroll AdministratorExecutes weekly payroll. Pulls and validates payroll source data. Manages payroll@abilitiesllc.com inbox. Compiles payroll documentation. Reports to the Finance Director.
Residential Program Managers (RPMs)Send each individual's PSA Ledger for the previous month to the guardian by the last day of the current month. Review PSA ledgers monthly. Flag unusual activity to the Finance Director. Do not enter payee transactions.
House Managers & DSPsSafeguard physical cash at the ISL. Enter PSA transactions in SetWorks with attached receipts by the 7th of the following month. Report suspected fund misuse to the Finance Director and RPM immediately.
Office ManagerStores SSA Payee client debit cards and manages individual checkout and return. Receives Christmas gift receipts and confirms purchase, receipt, and gifting. Receives and disburses paper paychecks to employees.
4

Budget and Financial Reporting

The Finance Director's authority, annual budget development, monthly reporting, expense prioritization, the reserve fund, billing compliance, and fiscal controls.

๐Ÿงญ Policy F4.1

Finance Director Authority and Decision Rights

Delegated authority within approved budgets. Final authority rests with the Executive Director.

1

Primary financial systems

SystemPurpose
QuickBooksThe agency's primary financial recordkeeping system; all agency-level transactions recorded here
SetWorksIndividual financial ledgers, Medicaid billing records, and service documentation
CIMOR / EMOMEDDMH service authorizations and billing submission
MMAC / MO HealthNetMedicaid enrollment, billing, and claims management
BambooHRPayroll processing and HR records
Google Drive (Finance Shared Folder)Secure shared storage for internal financial reports, budget documents, and payroll records
2

Delegated authority

  • Process routine payments and reconcile accounts
  • Manage financial records and enforce receipt and documentation standards
  • Manage vendor relationships
  • Sign checks within authorized limits
๐Ÿ’ฒ
Check approval threshold. Any single check exceeding $10,000.00 requires Executive Director approval before issuance. The Finance Director may not authorize or issue checks above this threshold independently.
3

Decisions requiring Executive Director approval

  • Any check payment exceeding $10,000.00
  • Use of reserve funds or changes to reserve strategy
  • Material changes to budget assumptions or projections
  • New debt or refinancing
  • Significant deviations from approved departmental budgets
  • Changes affecting payroll, benefits, insurance coverage, or agency solvency
  • Responses to audits, investigations, or regulatory actions with potential agency impact

Final financial decision-making authority rests with the Executive Director. The Finance Director's role is to advise, implement, and execute within those decisions.

๐Ÿ“ˆ Policy F4.2

Annual Budget Development

Built in partnership with the Executive Director. Quarterly reviews with each Department Head.

  • Works individually with each Department Head to build their annual spending plan
  • Consolidates departmental budgets into the agency-wide budget
  • Identifies areas where cost containment or reallocation may be needed
  • Finalizes the approved annual budget prior to the start of the new fiscal year
๐Ÿ—“๏ธ
Quarterly department budget meetings. The Finance Director meets in person with each Department Head once per quarter to review year-to-date spending against budget, identify variances, and adjust projections.
๐Ÿ“Š Policy F4.3

Monthly Financial Reporting

Submitted to the Executive Director by the end of each month.

  • Balance Sheet with asset and liability detail
  • Profit and Loss statement for the current month and year-to-date comparison
  • Cash-flow projections forecasting 30, 60, and 90 days
  • Budget vs. Actual summaries for key cost areas
๐Ÿฅ‡ Policy F4.4

Expense Prioritization

When cash or reserves are limited, payments are prioritized in this sequence.

1
Payroll and payroll taxes โ€” the highest, non-negotiable financial priority under all circumstances.
2
Rent and mortgage obligations tied to active service locations.
3
Health insurance premiums.
4
Workers' compensation premiums.
5
General liability and commercial insurance premiums.

The Finance Director notifies the Executive Director immediately if there is any projected inability to meet payroll or priority obligations.

๐Ÿ›ก๏ธ Policy F4.5

Agency Reserve Fund

A designated reserve fund with a long-term target of $1,000,000.

  • The Finance Director maintains a designated reserve fund with a long-term target of $1,000,000.00
  • Balance is tracked monthly and reported during financial reviews with the Executive Director
  • Reserve accounts are protected from routine operational spending, unapproved projects, and non-emergency uses without Executive Director approval
  • When reserves are accessed, the Finance Director develops a documented replenishment plan
  • All reserve withdrawals are documented with date, amount, purpose, and replenishment plan
๐Ÿ“ Policy F4.6

ISL Variance Billing

The Executive Director completes the DMH-required ISL Variance form.

The Executive Director completes the DMH-required ISL Variance form for all newly implemented or modified ISL service authorizations.

  • Under-served variance is reported via the MMAC/DD Waiver Variance Calculation Worksheet
  • Over-served variance is reported via REDCap
  • Variances must be submitted within 30 days of the end of the plan year
๐Ÿ›๏ธ Policy F4.7

DMH Authorizations and Medicaid Billing

The Finance Director manages all DMH service authorizations and Medicaid billing.

  • Monitors DMH service authorizations for all individuals and reviews UR approvals against current service levels
  • Updates SetWorks authorizations promptly to reflect current service codes, authorized units, and start/end dates
  • Confirms documentation and authorized units before billing; all monthly billing completed by DMH deadlines
  • Pulls the Provider Billing Activity report from CIMOR 24 hours after each submission to confirm billing
  • Pulls Remittance Advice statements from CIMOR to confirm payment amounts
  • Notifies the Executive Director immediately when units are reduced or denials occur
๐Ÿง’ Policy F4.8

Children's Division Billing

Prior-month invoice sent by 5:00 PM on the 1st of each month.

For Children's Division contract billing, the Finance Director generates the invoice in QuickBooks for the prior month and sends it to the designated Children's Division billing email address by 5:00 PM on the 1st of each month.

๐Ÿ” Policy F4.9

Fiscal Controls

Protecting the agency, the individuals we serve, and Finance staff from preventable errors and fraud.

  • Agency cards are issued only to authorized personnel; cardholder documentation (limits, permitted uses) is maintained by the Finance Director
  • Receipts for all agency card purchases (fuel, Walmart, and other agency cards) are turned in to the Finance Director monthly; persistent non-compliance is reported to the DRO and may escalate to HR
  • QuickBooks bank reconciliations are completed monthly for all agency accounts
  • W-9 forms are collected and retained for all vendors and contractors
  • No single employee has both authorization authority and disbursement authority for the same transaction
  • The Finance Director maintains awareness of outstanding floating checks and the agency's actual available balance
  • Payroll funds must be stored separately from other business funds
  • The Finance Director holds a finance account on the agency's WEX Fleet profile and ensures the WEX balance is paid every 30 days
5

Documentation Standards

Systems of record, timeliness standards, integrity requirements, access and confidentiality, audit readiness, the monthly close-out checklist, and the record retention schedule.

๐Ÿ—ƒ๏ธ Policy F5.1

Systems of Record

Every transaction documented in the correct system, at the time of the transaction.

SystemWhat It Records
QuickBooksAll agency-level transactions: AP, AR, payroll, assets, liabilities, bank reconciliations
SetWorksAll individual financial ledgers: payee transactions, PSA, R&B, receipts, and Medicaid billing records
BambooHRPayroll, employee records, and HR documentation
CIMOR / EMOMEDDMH service authorizations and Medicaid billing submissions
BoldSignSigned lease agreements, consent forms, and other executed documents
Google Drive (Finance Shared Folder)Internal financial reports, budget documents, and payroll records (Finance and Executive Director access only)
โฑ๏ธ Policy F5.2

Timeliness Standards

Every Finance task has a defined deadline so reconciliation, billing, and audits work.

TaskDeadlineOwner
PEX load screenshot uploadDay of load (1st of month)QAP
Bank deposit verificationAt time of ledger entry (same day)QAP
PSA receipt uploadAt time of ledger entryISL Management
Utility bills uploaded to SetWorksWithin 7 calendar days of receipt at officeQAP
Grocery & household receiptsWithin 7 calendar days of purchaseISL Management / QAP
Payee receiptsWithin 7 calendar days of purchaseQAP
Individual PSA ledger entryBy the 7th of the following month, with receipts attachedISL Management
R&B invoices generated and sent5:00 PM on the 3rd of the monthFinance Director
Children's Division invoice5:00 PM on the 1st (for prior month)Finance Director
Payee R&B check printed, signed, depositedBy the 10th of the monthFinance Director
Reconciliation discrepancy notesSame day discrepancy is identifiedFinance Director
Payee account monthly reconciliationMonthly, ongoingFinance Director
PSA Ledger to guardianLast day of the current month (for prior month)RPM
Monthly financial report to EDEnd of each monthFinance Director
QuickBooks bank reconciliationMonthlyFinance Director
SetWorks authorization updatesWithin 2 business days of UR approval or changeFinance Director
ISL Variance billing submissionWithin 30 days of the end of the plan yearExecutive Director
Annual SSA Rep Payee ReportWithin SSA-specified deadlineFinance Director
Missouri Renters Rebate (individual)By April 1 each yearFinance Director
Individual tax filingsOn or before IRS/state deadlinesFinance Director
Christmas gift purchasingComplete by Dec 1; fund verification by first week of NovemberFinance Director
Sub-leases sent outBy December 1 for January 1 renewalFinance Director
Agency card receipt entry (fuel, Walmart, other)Monthly, no backlog beyond one cycleFinance Director
Audit document productionWithin 2 business days of requestFinance Director
๐Ÿ“ฌ
Receipt of documents at the office. Mail is opened daily and financial documents are date-stamped on receipt. The 7-day upload clock starts on the date stamped at the office, not the date someone picks it up off a desk. Backlog recovery: if documentation falls behind, the Finance Director assigns a recovery plan with a defined completion date โ€” but the current month is still uploaded on time, with backlog worked in parallel.
๐Ÿ›ก๏ธ Policy F5.3

Documentation Integrity

The difference between a defensible audit and a finding.

  • All records must be accurate, complete, and entered at the time of the transaction, not reconstructed from memory
  • No Finance document may be altered after submission without a documented correction process recording the reason, the person, and the date
  • Financial records cannot be deleted in SetWorks โ€” errors are corrected by editing the existing entry
  • Deletion or destruction of records outside the authorized retention schedule is prohibited
  • Documents submitted to government agencies (SSA, DMH, MMAC, MO HealthNet) must be accurate representations of actual transactions and balances
๐Ÿ”’ Policy F5.4

Access and Confidentiality

Financial records are confidential and protected like any other personal information.

  • Access is limited to authorized Finance Department staff and the Executive Director
  • Individual financial records are subject to the same confidentiality protections as other personal information under HIPAA and agency policy
๐Ÿ” Policy F5.5

Audit Readiness

Maintained at all times โ€” any requested record produced within two business days.

  • All documentation is filed in the correct system using the correct naming convention
  • No backlog of unfiled receipts, unreconciled accounts, or incomplete ledger entries exists
  • QuickBooks is fully current and reconciled monthly
  • All monthly reconciliations and financial reports are current and approved
  • Any requested record can be produced for DMH, SSA, MMAC, or internal review within two business days
๐Ÿ“‹ Policy F5.6

Monthly Close-Out

How Abilities proves, every month, that every dollar moved correctly. Owned by the Finance Director, completed within the first 10 business days of the following month.

For every individual financial account, the Finance Director confirms:

  • Every payee account has been reconciled to the bank statement
  • Every deposit in every ledger matches a posted bank transaction
  • Every disbursement has a matching receipt or invoice
  • Every R&B invoice was generated in QuickBooks by 5:00 PM on the 3rd
  • Every R&B invoice has a matching deposit equal to the invoice amount
  • Every R&B invoice has a matching check or transfer equal to the invoice amount
  • Every payee R&B check was printed, signed, and deposited by the 10th
  • Every utility bill received was uploaded within seven days of receipt at office
  • Every PSA PEX load screenshot is uploaded to the corresponding ledger entry
  • Every household PEX transfer occurred on the 1st by 8:00 AM, and every PSA PEX load auto-loaded on the 1st
  • Every reimbursement from a payee account to Abilities is exact and documented
  • Every error identified during reconciliation has been corrected with an explanatory note
  • Every hard item purchased is owned by one identifiable individual in SetWorks
  • Every Children's Division invoice was generated and sent by 5:00 PM on the 1st
๐Ÿ—„๏ธ Policy F5.7

Record Retention

How long each record type is kept, and how it's disposed of.

Document TypeRetention Period
Individual financial ledgers, receipts, and payee records7 years from date of record
Tax filings and IRS/state correspondence7 years from filing date
Medicaid billing records and claims10 years from date of service (per Medicaid)
Payroll records and W-2s7 years from payroll date
Lease agreements and sub-leases7 years after lease termination
QuickBooks financial recordsPermanent
SSA payee reports7 years from filing date
Vendor contracts and W-9 forms7 years after contract end
Agency insurance policiesDuration of policy plus 7 years
HIPAA-protected financial health records6 years from creation or last effective date (HIPAA minimum)

Records that have met their minimum retention period may be disposed of under an authorized disposition schedule approved by the Executive Director. Destruction must be documented โ€” shred physical records and use secure deletion for electronic records.

6

Residency and Lease Agreements

The Finance Department's role in developing, managing, and maintaining individual sub-lease agreements for all ISL residents. (The Residential Handbook covers the residential operations side.)

๐Ÿ“ Policy F6.1

Sub-Lease Process

Every ISL resident has a sub-lease. Sent by December 1 for January 1 renewal.

Sub-leases are sent out by December 1 of each year for January 1 renewal.

1
The Finance Director drafts and develops the sub-lease document for each individual.
2
The Finance Director sends the sub-lease to the guardian and the Executive Director for signature using BoldSign.
3
The Executive Director signs on behalf of Abilities, LLC as the provider.
4
Only signed leases are uploaded to SetWorks under Files > Misc. > Leases. Unsigned or draft documents are never uploaded.
๐Ÿ˜๏ธ Policy F6.2

Financial Obligations for ISL Properties

Invoices to guardians, rent to property owners, the master lease, and insurance.

  • Issues Room and Board invoices to guardians for each individual each month
  • Issues rent payments to property owners on behalf of Abilities, LLC
  • Abilities holds the original lease with each landlord or property owner; individual sub-leases flow from that master agreement
  • Abilities carries insurance on all ISL properties
7

Payroll Operations

How Abilities processes payroll โ€” the workflow and roles, source data validation, pay-rule application, PTO and bonuses, mileage, paper checks, workers' comp, error correction, tax filings, garnishments, and confidentiality. This chapter governs how payroll is executed, not what is paid.

๐Ÿ’ผ Policy F7.1

Payroll Workflow and Roles

Weekly through BambooHR. Pay periods Sundayโ€“Saturday, payday Friday.

Abilities processes payroll weekly through BambooHR. Pay periods run Sunday 12:00 a.m. through Saturday 11:59 p.m. Payday is Friday. The Payroll Administrator executes payroll; the Finance Director wires funds and prints paper checks. BambooHR handles all tax withholding, tax remittance, payroll tax filings, direct deposit ACH, and W-2 issuance.

1

Roles & responsibilities

RoleResponsibilities
Payroll AdministratorPulls and validates payroll source data from SetWorks, WhenToWork, and BambooHR. Applies payroll rules exactly as written. Processes PTO, bonuses, taxable wages, and mileage. Submits payroll in BambooHR by Wednesday 12:00 PM. Sends paper check file to Finance Director. Manages payroll@abilitiesllc.com inbox. Compiles payroll documentation each cycle.
Finance DirectorWires payroll funds by Wednesday 3:00 PM. Prints and signs paper checks each cycle and delivers them to the Office Manager. Receives total payroll expense notification each cycle. Submits monthly payroll numbers to the Workers' Comp carrier.
Human ResourcesFirst-level escalation for employee-facing payroll issues (attendance disputes, PTO approvals, direct deposit changes). Tracks and calculates monthly and quarterly attendance bonuses and notifies the Payroll Administrator. Processes wage garnishments through BambooHR.
Executive DirectorEscalation point for material payroll errors. Authorizes non-payable taxable wages (gift cards, prizes, cash awards, fringe benefits) in writing. Completes the annual Workers' Comp audit.
Office ManagerReceives printed paper checks from the Finance Director and disburses them. Employees pick up paper checks at the office.
2

Weekly payroll workflow

Day / TimeActionOwner
Monday 10:00 AMEmployee time-entry deadline in SetWorks; later entries process with the following payrollAll employees
Mon afternoon โ€“ Wed morningPull SetWorks Activity Records and WhenToWork schedules; validate hours, apply pay rules, process PTO, bonuses, mileage, taxable wagesPayroll Administrator
Wednesday 12:00 PMSubmit payroll file in BambooHR; email paper check file to Finance Director; notify of total payroll expensePayroll Administrator
Wednesday 3:00 PMWire payroll funds to BambooHR; print and sign paper checks; deliver to Office ManagerFinance Director
FridayDirect deposits arrive; paper checks available for pickup at the officeBambooHR / Office Manager
๐Ÿ”Ž Policy F7.2

Source Data Validation

SetWorks Activity Records are the definitive source of payable hours.

Before submitting payroll, the Payroll Administrator must:

  • Pull SetWorks Activity Records as the definitive source of payable hours for residential, behavioral, and community employees
  • Verify all paid hours are supported by submitted Activity Records and accurate attendance data
  • Confirm overnight documentation is properly split when shifts cross pay periods
  • Compare documented hours against WhenToWork schedules for completeness and alignment
  • Identify missing, deleted, incomplete, or inconsistent documentation and follow the exception steps
  • Document reconciliation steps and decisions in payroll processing notes
๐Ÿ“„
Documentation exceptions. When documentation is late, an Activity Record Exception Form is routed through BambooHR. The Payroll Administrator verifies it is complete and tied to actual worked time, then ensures the missing or corrected time is included in the next scheduled payroll.
๐Ÿ“ Policy F7.3

Pay Rule Application

The rules are applied exactly as written. Where each rule lives:

  • Pay periods, paydays, overtime, and timekeeping โ€” Universal Employee Handbook, Policy 3.2
  • Holiday pay rates and eligibility โ€” Universal Employee Handbook, Policy 2.2, with department-specific rates in each department handbook
  • Sleep shift pay and every-weekend pay โ€” Residential Services Department Handbook
  • Mileage reimbursement โ€” Universal Employee Handbook, Policy 3.1
  • Wage bands and certification bumps โ€” Universal Employee Handbook, Policy 3.5
๐Ÿ–๏ธ Policy F7.4

PTO and Bonus Processing

PTO, attendance bonuses, shift-pickup bonuses, and non-payable taxable wages.

1

PTO processing

  • Add approved PTO based on recorded approvals in BambooHR
  • Manually add PTO where required by policy or written authorization (last-minute requests, hours needed to reach 40, other approved adjustments)
  • Deduct PTO for call-ins per Attendance and Time Off policies
  • Reflect PTO usage clearly on pay stubs; escalate discrepancies between recorded usage and expected balances
2

Bonuses & taxable wages

  • Attendance bonuses: HR tracks/calculates perfect attendance monthly and quarterly and notifies the Payroll Administrator via payroll@abilitiesllc.com; processed in the next payroll cycle
  • Shift-pickup bonuses: the Payroll Administrator pulls these directly from WhenToWork
  • Non-payable taxable wages (gift cards, prizes, cash awards, fringe benefits): processed only after written authorization from the Finance Director or Executive Director, per the Fringe Benefits Policy in the Universal Employee Handbook
๐Ÿš— Policy F7.5

Mileage Reimbursement

Submitted by 10:00 AM Monday for that week's payroll, at the IRS standard rate.

Employees submit mileage to payroll@abilitiesllc.com by 10:00 AM Monday for inclusion in that week's payroll. The Payroll Administrator verifies submissions include all required information and processes approved reimbursements at the IRS standard rate set in Universal Employee Handbook Policy 3.1. Mileage documentation is maintained in payroll records.

๐Ÿ“จ Policy F7.6

Paper Check Distribution

For employees without direct deposit. Picked up at the office โ€” not mailed, not delivered to the ISL.

  • The Finance Director prints and signs paper checks each pay period
  • The Finance Director delivers printed checks to the Office Manager
  • The Office Manager disburses checks to employees
  • Employees pick up paper checks at the office โ€” checks are not mailed and not delivered to the ISL
๐Ÿฆบ Policy F7.7

Workers' Compensation Coordination

Monthly numbers from the Finance Director; annual audit by the Executive Director.

  • The Finance Director submits monthly payroll numbers to the Workers' Compensation carrier for premium calculation
  • The Executive Director completes the annual Workers' Compensation audit
๐Ÿ› ๏ธ Policy F7.8

Payroll Error Correction and Escalation

Agency-caused errors are fixed the same day. Employee-caused errors are corrected next cycle.

1

Error correction

  • Agency-caused error: corrected and paid immediately โ€” the Finance Director issues a manual check or off-cycle payment to make the employee whole the same day the error is confirmed
  • Employee-caused error (missed time entry, late submission, employee-side error): corrected on the next regular payroll cycle
2

Escalation pathway

  • Employee-facing issues (attendance disputes, PTO approval questions, direct deposit changes, employee-side errors): the Payroll Administrator redirects to Human Resources
  • Material payroll errors (potential wage violations, suspected wage theft, data breaches, audit-related risks): the Payroll Administrator escalates immediately to the Executive Director
๐Ÿงพ Policy F7.9

Tax Filings and Year-End Reporting

BambooHR processes payroll taxes; Vitable Health handles ICHRA year-end reporting.

1

Tax filings (BambooHR)

  • Tax withholding and payroll tax remittance
  • Quarterly tax filings (Form 941, state unemployment)
  • Annual filings (Form 940, W-2, W-3)
  • Direct deposit ACH

The Payroll Administrator verifies BambooHR processed each cycle correctly. The Finance Director is responsible for any discrepancies between BambooHR's tax processing and agency records.

2

ICHRA year-end reporting

Vitable Health handles year-end ICHRA reporting (Form 1095-C and related employer reporting). The Finance Director coordinates with Vitable Health to confirm reporting is complete by IRS deadlines.

โš–๏ธ Policy F7.10

Wage Garnishments

Processed by HR and paid via BambooHR. The Payroll Administrator forwards any notice to HR immediately.

Garnishments include child support, tax levies, defaulted student loans, and court-ordered withholdings.

  • Garnishments are processed by Human Resources and paid via BambooHR, which pulls the funds from payroll and transmits them to the creditor
  • The Payroll Administrator does not handle garnishment processing directly
  • Any garnishment notice received by the Payroll Administrator is forwarded to HR immediately
๐Ÿ” Policy F7.11

Confidentiality and Retention

Strict confidentiality, a 7-year minimum, and an audit-ready PDF every cycle.

1

Confidentiality

  • The Payroll Administrator maintains strict confidentiality of employee compensation and payroll data
  • Payroll records, including payroll-related emails, are retained for a minimum of 7 years
  • Payroll inbox emails may not be deleted
  • The Payroll Administrator produces requested payroll documentation within 2 business days
2

Documentation, storage & internal reporting

After submission, the Payroll Administrator compiles each cycle's documentation into a single PDF: payroll notes and reconciliation records, time and attendance reports, PTO records, bonus and taxable wage calculations, and mileage documentation.

  • File name format: MM.DD.YYYY Payroll (example: 2.6.2026 Payroll)
  • Storage: Google Drive > Shared Drive > Finances > Payroll > [Year] โ€” access restricted to Finance staff and the Executive Director
  • Monthly internal reporting: the Payroll Administrator enters monthly overtime and bonus data into the agency Google Sheet by the 15th of the month for the prior month
๐Ÿ”ค Reference

Acronym Guide

Acronyms used throughout this handbook and by SSA, DMH, MMAC, and the agency.

AcronymMeaning
ACHAutomated Clearing House (electronic transfer system used for direct deposit)
APAccounts Payable
ARAccounts Receivable
BambooHRAgency HR and payroll system
CDChildren's Division (Missouri)
CIMORClient Information Management and Outcome Reporting (Missouri DMH system)
DDDevelopmental Disabilities
DMHDepartment of Mental Health (Missouri)
DRODirector of Residential Operations
DSPDirect Support Professional
EDExecutive Director
EMOMEDElectronic Missouri Medicaid (billing portal)
FCSRFamily Care Safety Registry
HCBSHome and Community-Based Services
HIPAAHealth Insurance Portability and Accountability Act
HRHuman Resources
ICHRAIndividual Coverage Health Reimbursement Arrangement
IRSInternal Revenue Service
ISLIndividualized Supported Living
MMACMissouri Medicaid Audit and Compliance Unit
NPINational Provider Identifier
OMOffice Manager
PCSPPerson-Centered Service Plan
PEXPEX Card (agency-issued prepaid spending card)
PHIProtected Health Information
PSAPersonal Spending Account
PTOPaid Time Off
QAPQuality Assurance Professional
QBQuickBooks
R&BRoom and Board
REDCapResearch Electronic Data Capture (Missouri DMH over-served variance reporting system)
RPMResidential Program Manager
RSMoRevised Statutes of Missouri
SSASocial Security Administration
SSDISocial Security Disability Insurance
SSISupplemental Security Income
URUtilization Review
W-9IRS Request for Taxpayer Identification Number and Certification form
WEXFleet fuel card vendor used for company vehicle fuel purchases