I made this model to try and see what if anything works and here is what I learned. In order to continuously drive A axis you have to use wrap function,..... when you do that, tool tip points to center of rotation by default.
In order to cut using side of the end mill you would have to use tool orientation instead by picking model edge, face or sketched line that puts tool cutting flutes in orientation parallel with flat on model, using tool orientation and wrap function at the same time is not possible.
Note that my model has a dip in the middle, if I split it, square size measures smaller then one on each end.
I came up with 2 options that clarify the original question, how to machine flats with side of an end mill using 4th axis.
In my test, that is not possible in Fusion on model that has twisted flat faces, if flats were not twisted, you would use tool orientation with contour and circular pattern that would use A axis as an indexer.
1) Blend, or other 3D strategies.
Using tool orientation, A axis is indexed 4 times and 3D tool path is executed at each angle.
2) Two flavors of Rotary tool path
If using spiral option in operation, A axis is driven continuously as tool is driven in X and Z axis.
If using line option, A axis is used as indexer while tool is driven in XYZ motions, so if I pick 1 degree increment of A axis, Fusion executes one pass and progresses to indexing A axis by 1 degree for every subsequent pass until 360 degrees is covered.
Picture on right shows Rotary using line direction of cut completed, followed by circular.