Self-Direct Your Care With a Financial Management Service

GT Independence enables individuals with long term care needs or disabilities to easily hire and employ caregivers legally by handling all required employer and employee paperwork, time tracking, payroll, tax filings and insurance concerns as a fiscal intermediary.

Using the services of a fiscal intermediary can help you receive a higher level of care by making it possible to stay in your own home and receive your care from caregivers that you choose, including family members.


  • Care is provided based on your schedule
  • Direct how you want to receive your care
  • Only pay for the services you need
  • Receive care in your own home
  • Choose who provides your needed supports
  • Maintain your independence

Medicaid / Medicare Programs

Are you on Medicaid / Medicare?

View programs and locations where we serve
Medicaid / Medicare eligible individuals.


View Programs

Private Pay

Do you pay for your own care?

Learn how a fiscal intermediary can help you stay in
your home and receive quality care.


Learn More