Welcome to LifeLong Advocacy!

Our goal is to provide dependable Fiscal Intermediary services to individuals with special needs who choose to live a Self-Determined life.


Please be advised that until further notice we will not be able to process Reimbursement Training Time Sheets for the cost of any classes that are needed by your employees to work as a Caregiver. It has been brought to our attention that not only may this be against Medicaid policy, but it is also depleting the individual funds granted that need to go towards the intended services for the consumers.

We will, at this point, process for hours spent only in the classroom (at a rate of $8.50/hr) not for any cost associated with course itself. As always, there are FREE classes offered through MCCMH. As with any position, there are certain requirements needed to be eligible for hire. It is the responsibility of the individual wanting to work as a caregiver to meet those requirements without expecting to be funded for the cost of a class by their employer.

The Request for Reimbursement must have EACH SECTION filled out entirely. If you are using an old Reimbursement Sheet we now require a signature from the EMPLOYER/CONSUMER to verify that the funds being taken out of the monthly budget are in fact approved by the employer/consumer. Please just sign off underneath the employee’s signature.

We will keep you updated, as to any new guidelines we need to follow, as we are made aware of them.

If you should have any questions regarding this change, please contact our office.


What is a Fiscal Intermediary?  A Fiscal Intermediary (FI) is a person or agency who helps you manage your budget and pay your bills if you are using a self-determination approach.  The FI will use the funds from your self-determination budget to pay your staff, and will report the services they provide to Community Mental Health.

A FI will pay your service/support bills with money from Medicaid, MCCMH, or other sources.  Your fiscal intermediary will pay for things that are authorized in your Person-Centered Plan and your self determination budget.  You will receive monthly statements so you and your support team can see how you are doing with your budget.  As the business owner you’ll avoid the pressure of tax season as we prepare your taxes.

When you hire your own staff, you must follow state and federal laws as an “employer of record.”  Hiring a Fiscal Intermediary will help you with these things and insure that your employee/caregiver has all the certifications needed to be a part of your staff.




If you are interested in finding about more Self-Determination or our Fiscal Intermediary services
please contact us 
at (586) 846.2457.


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Our friendly service makes the process less stressful and easier to understand. Our experience and knowledge ensure that we are always up to date on the latest changes to tax laws and financial regulations.

  • Quick response to calls and requests
  • Conveniently located in Macomb County
  • Direct Deposit available for employees
  • 24 Hour Drop Box, fax and email submission
  • Face to Face consultations available at our office or in your home
  • Experienced, caring, professionals providing personalized service
  • Maximize your budget providing the highest pay rates available for your caregivers


You can trust LifeLong Advocacy 
as your Fiscal Intermediary Professional.

 LifeLong ADVOCACY will help mange your budget as we process payroll, bill your agencies and oversee your workers compensation policy. 

By choosing LifeLong ADVOCACY, you’ll gain the confidence of knowing that your finances are in the hands of a professional.. Our staff offers unmatched client support and our role is clearly defined within your Self-Determination contract.

An initial consultation will set up your business with LifeLong ADVOCACY as your Fiscal Intermediary–so why not contact us at 586.846.2457.