Directed Services Payroll Software

CYMA's Payroll Software is an designed solution ideal for processing payroll for Directed Services or Fiscal/Employer Agents. Our understanding of the consumer/participant and attendant process has allowed us to create our Directed Services Payroll Software solution based on consolidation of employees into one company allowing for effortless Schedule R 941 and 940 creation. Processing payroll across a range of attendants is a straightforward procedure and retains the consumers EIN.

CYMA provides a fully integrated financial and payroll application capable of managing smaller directed services payroll but, expandable enough to manage the accounting and payroll requirements for the more involved processes required for attendant services on behalf of their consumer. With a special relationship with Gray Swan for Medicaid and Medicare billing, CYMA is part of a complete healthcare solution for directed services from assisted living to disability assistance. 

CYMA Payroll Software for Fiscal / Employer Agents supporting:

  • Consumer-Directed Care Services (CDS)
  • Self-Directed Care Services (SDS)
  • Participant-Directed Care Services (PDS)
  • Veterans-Directed Care Services (VDS)
  • Cash and Counseling
  • Community Living Programs
  • Money Follows the Person
  • Home and Community Based Services
  • Fiscal/Employer Agents
  • Agency with Choice
  • Fiscal Intermediary
  • Fiscal Support Entities
  • Intermediary Service Organizations
  • Co-employment Services
  • Community Based Alternatives (CBA)
  • Community Living Assistance and Support Services (CLASS)
  • Consumer Managed Personal Attendant Services (CMPAS)
  • Deaf-Blind with Multiple Disabilities (DBMD)
  • Home and Community-based Services (HCS)
  • Medically Dependent Children Program (MDCP)
  • Primary Home Care (PHC)
  • Family Care (FC)
  • Community Attendant Services (CAS)
  • Texas Home Living (TxHmL)


At the end of the CYMA Payroll process, all the reporting and 941-R / 940-R information is immediately available across all attendants - no extra consolidation needed. All attendant payroll information is tied to the Patient/Consumer EIN.

CYMA's Directed Services / Fiscal Employer Agent Payroll Software Solution Offers:

  • Individual form or Schedule R 941 / 940 options for consumers
  • Multi-Company management or Multi-Company/Multi-EIN Management - Separate EIN per consumer
  • Ability to produce financial statements by consumer
  • Easily process tax payments by consumer
  • Support for household workers including SSI/Medicare refunds
  • "Exempt" status for SSI/Medicare/FUTA/SUTA features
  • Ability to run delayed or late pay cards
  • Quickly enter or import time from any time clock or CYMA's web based, Employee Self-Service
  • Complete Certification and License Tracking
  • Flexible reporting on consumers, attendants, and combined information
  • Maintain SUTA rates by customer
  • Process for recording ACA data and processing 1095-C, 1094-C, 1095-B, and 1094-B forms
  • Federal and State compliance for payroll forms reporting
  • Unlimited pay types and all pay frequencies
  • Relationship with Gray Swan software for Medicaid and Medicare billing from a list of consumers and attendants.
  • Unique Employees can work for multiple service companies
  • Built-in electronic filing capabilities
  • Automated Clearing House (ACH) direct deposit
  • Multiple pre-designed reports within financial modules and payroll modules
  • Customizable forms and reports

Applied Self-Direction Memebership    National Association of Home Healthcare    Assisted Living Federation of America


Fiscal / Employer Agent Software

"We have been using CYMA for Payroll and CDS management since 2006. CYMA listens to our needs and has added dozens of features to enhance our payroll/quarterly tax processing. CYMA has saved us time and money."

Toni Rhoads, Rural Advocates for Independent Living (RAIL)

Typical Module Configuration