Prototype- South Carolina Employer Roles and Information

South Carolina Employer Roles and Information

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
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Fiscal Management Service

The Fiscal Management Service (FMS) or Payroll Agent is responsible for processing time records, paying employees, paying payroll taxes, and maintaining employment law compliance.
Employer Agent Name (Read Only)
Phone Number (Read Only)
Human Resources Email (Read Only) (DHHS)
Human Resources Email (Read Only) (DDSN)
Human Resources Fax (Read Only)
Human Resources Mailing Address (Read Only)
Morning Sun Financial Services of South Carolina
820 Lilac Drive North, Suite 200
Golden Valley, MN 55422
Payroll Email (Read Only) (DHHS)
Payroll Email (Read Only) (DDSN)
Payroll Fax (Read Only)
Payroll Mailing Address (Read Only)
Morning Sun Financial Services of South Carolina
9400 Golden Valley Road
Golden Valley, MN 55427
Program Information
South Carolina Program*

SCDHHSSCDDSN
Participant

This is the person that receives services. Other terms include, Consumer, Client, or Person Served
Participant Legal Name*

Legal First NameLegal Last Name
Participant Address*

Street Address

Apartment or Unit Number

CityState

Zip Code
Participant Date of Birth*

MonthDayYear
Date
Medicaid ID Number (DDSN Only) or Client ID (DHHS Only)*
ONLY EEProvider # (DHHS Only)
Participant Gender*

MaleFemale
HIDE- Participant Gender (Circle one)

MaleFemale
HIDE- Utah Program (Circle one)

SCDHHSSCDDSN
Is this a transition FROM another Fiscal Agent TO Morning Sun Financial Services?*

NoYes
Other Fiscal Agent Name*
HIDE- Is this a transition FROM another Fiscal Agent TO Morning Sun Financial Services? (Circle one)

NoYes
Does the Participant have a Responsible Representative?*

NoYes
HIDE- Does the Participant have a Responsible Representative? (Circle one)

NoYes
Employer

This is the person that is responsible for supervising an Employee. In some cases, the Employer can be the Participant or their Authorized Representative.
Employer Legal Name*

Legal First NameLegal Middle NameLegal Last Name
Employer Email*
example@example.com
Employer Phone Number*
Please enter a valid phone number.
Employer Address*

Street Address

Apartment or Unit Number

CityState

Zip Code
Employer Date of Birth*

MonthDayYear
Date
Employer Social Security Number*
Case Manager

This is a person at the South Carolina Department of Health that provides information and assistance to waiver individuals in directing and managing their services under the self-direction option
Case Manager Legal Name*

First NameLast Name
Case Manager Email*
example@example.com
Case Manager Phone Number
Please enter a valid phone number.
Authorized Representative

This is a person that can act on the Employer's behalf
Authorized Representative Legal Name

Legal First NameLegal Last Name
Authorized Representative Email
example@example.com
Authorized Representative Phone Number
Please enter a valid phone number.
Authorized Representative Address

Street Address

Apartment or Unit Number

CityState

Zip Code
Authorized Representative Date of Birth

MonthDayYear
Date
Should be Empty:

South Carolina Employer Roles and Information

Fiscal Management Service

Program Information

Participant

Employer

Case Manager

Authorized Representative