The Fiscal Intermediary (FI) is an agency that provides administrative and billing support to a person who chooses Self Direction. They conduct background checks of self-hired staff, bill Medicaid and NYS for services, pay staff, track expenditures and provide monthly statements. There are actually two types of Brokers. A Start Up Broker helps the individual write up the plan of services and develop the budget. A Support Broker helps the person manage their services.