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Private Pay

About this Program

Families and individuals can now pay for staffing without the worry and hassle of handling payroll taxes and other IRS obligations of having staff. By hiring, managing and supervising the workers, families/individuals have the utmost authority in directing their own care; however, using a Financial Management Service such as MRCI will provide a comfort in knowing you are accurately complying with all of the IRS guidelines for reporting wages and paying taxes.


By paying for care with a Financial Management Service, payment to any care provider will stand up to a Medicaid look back should the client spend their own money and become eligible for Medical Assistance.


Lastly, a Financial Management Service will accurately report the dollars that are spent on care to family members reducing the financial exploitation or accusations that could potentially occur.

PCA supporting an elderly woman

You are the Employer

In Private Pay, the participant is the employer, which allows you to select, hire, train and manage your own staff.  

Hire Family and Friends

You can hire the people you know, and who know you to provide your services, including parents and spouses.

Payroll and Taxes

We'll ensure compliance with State and Federal Labor Laws so you don't have to.

How to sign up for Personal Support

# 1

Contact us to indicate your interest in Private Pay

We'll schedule a intake interview with you to get you started. 

# 2

Complete personal intake interview

We'll meet with you one-on-one, in the format of your choosing to complete the enrollment process. 

# 3

Complete employee onboarding paperwork

Mail, email PDF, or SignNow online employee application. 

Program Forms

Claim Form for Payments & Reimbursements

Mileage Reimbursement

Private Pay & County Billed Timesheet

Timesheet - Paid Time Off

Sick and Safe Timesheet

Employment Resources

Employee Disclosures & Supplements

Direct Deposit Form

Federal Labor Law Poster

Minnesota Labor Law Poster

Status Change Form

W4 Form (Federal)

W4 Form (Minnesota)

FMLA Poster

Youth Labor Laws

Additional Resources

Client Information on Payments and Reimbursements

Consent to Release Employment Information

Direct Deposit Instructions

Vendor Packet

Employee Performance Review

Employee Exiting Form

Incident-Accident Report

Independent Contractor Billing Form

Job Posting Agreement



Payroll Calendar

Samples of Completed Forms


Prefer to complete documents online?

Many of these forms are conveniently available to complete online using SignNow. See the available forms. 

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