Acumen Fiscal Agent operates as a Fiscal/Employer Agent (F/EA), providing services to seniors, people with disabilities, and their families who self-direct their own care through government-funded programs like Medicaid waivers. The company's core mission is to support the principles of self-direction by handling the financial and administrative tasks of being an employer, such as processing payroll for caregivers, managing tax withholdings, and filing all applicable state and federal taxes. This allows the program participants to focus on managing their care and support staff without the burden of complex payroll and tax compliance.