Book a Free Consultation

"The Most Complete Healthcare Consulting Firm — All Programs. All Services. One Partner."

WHO WE AREBuilt by Operators.
Trusted by Agencies
Nationwide.

At T&A Certified Home Health Consultants, LLC, we provide end-to-end consulting, implementation, compliance, and operational support for healthcare providers across the United States. Our Medicare consulting covers all 50 states. Our Medicaid and Home & Community-Based Waiver Program expertise runs deepest in Ohio — where we are specialists in every ODA, DODD, and Managed Care program.

We don’t just consult — we build, implement, audit, and fix. From startup to full operations, we are the only partner you need to launch, certify, and scale a home health, adult day care, or DME agency.

Our team has owned, operated, and sold agencies — so we understand the real challenges you face, not just the textbook version.

199+ Agencies Supported
Home Health & Home Care
Medicare — All 50 States
Medicaid & Waiver Programs
Adult Day Care
DME / DMEPOS

CORE SERVICES Comprehensive Consulting Across Every Service Line

Whether you are launching a new agency, expanding into a new program, recovering from compliance issues, or building out your billing infrastructure — we have the expertise and the systems to deliver results in any state.

SKILLED & NON-SKILLED Home Health & Home Care

We develop fully compliant home health agencies designed to pass surveys and operate efficiently from day one — for both Medicare-certified skilled agencies and Medicaid non-skilled home care providers.

SKILLED (MEDICARE-CERTIFIED)

  • Medicare certification — CMS Conditions of Participation (CoP)
  • PDGM (Patient-Driven Groupings Model) workflow implementation
  • OASIS & Plan of Care (POC) setup and clinical documentation
  • Clinical documentation systems and quality assurance
  • Survey readiness preparation and mock surveys
  • Accreditation — CHAP, ACHC, Joint Commission

NON-SKILLED (MEDICAID & PRIVATE DUTY)

  • Personal Care Services (PCS) / Home Personal Care (HPC) setup
  • Medicaid provider enrollment and credentialing
  • Caregiver workflows, documentation, and compliance systems
  • Scheduling, EVV integration, and service tracking

ALL 50 STATES Medicare & Medicaid Consulting

We provide Medicare consulting across all 50 states — helping agencies navigate CMS enrollment, billing, and compliance from anywhere in the country. Our Medicaid consulting covers state-specific programs with deep Ohio expertise.

MEDICARE — NATIONWIDE (ALL 50 STATES)

  • Provider enrollment — CMS Form 855A and PECOS setup, any state
  • Billing setup — PDGM, claims processing (837/835)
  • Survey preparation and mock survey readiness
  • OASIS accuracy and clinical documentation review
  • PDGM grouper accuracy and reimbursement optimization

Medicaid — State Program (Deep Specialty)

  • Medicaid provider enrollment and credentialing
  • Claims setup and billing configuration — state-specific
  • Authorization and eligibility workflows
  • Fee-for-service and managed care billing setup
  • Plan of Correction (POC) development and submission

ADULT DAY CARE Adult Day Care Center Consulting

We provide full consulting for Adult Day Care centers — both Social and Medical models — from licensing through operations, Medicaid waiver billing, and ongoing compliance. We support Adult Day Care startups and expansions in every state.

  • State licensing application and facility approval — all states
  • State Department of Aging, Developmental Disabilities, and Medicaid compliance requirements
  • Facility planning, zoning guidance, and layout review
  • ADA compliance review and inspection readiness
  • Program development — social and medical day models
  • Staffing ratios, qualifications, and training requirements
  • Participant intake, assessment, and care planning
  • Medicaid and waiver billing integration — state-specific programs
  • Home and Community-Based Services (HCBS) waiver Adult Day enrollment
  • Transportation coordination and compliance
  • Activities programming and therapeutic service documentation

DME / DMEPOS Durable Medical Equipment Consulting

We guide you through every step of starting, enrolling, and operating a fully compliant Durable Medical Equipment supplier — from state registration to Medicare billing and accreditation.

  • DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics & Supplies) enrollment
  • Medicare Part B supplier number enrollment and NSC accreditation
  • Accreditation preparation – ACHC, CHAP, HQAA
  • Supplier standards compliance – all CMS requirements
  • Surety bond requirements and supplier standards
  • Product line setup – wheelchairs, hospital beds, oxygen, CPAP, wound care
  • HCPCS coding and claims billing setup
  • Prior authorization and LCD/NCD coverage policy guidance
  • Medicaid DME billing and prior authorization workflows
  • Documentation compliance – CMNs, written orders, proof of delivery
  • Audit defense – Medicare RAC, CERT, and MAC audit preparation
  • Competitive Bidding Program (CBP) guidance

ACCREDITATION Accreditation Support

We prepare your agency to pass on the first survey — every time. CHAP, ACHC, and Joint Commission accreditation requires precise, thorough preparation and we deliver it.

  • Full gap analysis against accreditation standards
  • Policy and procedure customization to meet all standards
  • Clinical documentation setup and compliance review
  • Mock surveys – full internal simulation with written findings
  • Survey-day coaching and staff preparation

COMPLIANCE Compliance, Audits &
On-Site Reviews

We come directly into your agency and perform a full operational audit — identifying compliance risks before regulators find them. You receive a complete report and correction plan.

WE REVIEW

  • Clinical documentation — OASIS, POC, visit notes, accuracy review
  • Billing and claims accuracy — denial patterns, coding compliance
  • EVV compliance — visit validation and documentation
  • HR and personnel files — credentials, training records, supervisions
  • Policies and procedures — CMS, state, and accreditation alignment
  • Infection control, safety, and QAPI program review
  • Survey readiness — full internal checklist

YOU RECEIVE

  • Detailed deficiency report with findings
  • Compliance risk scoring by category
  • Step-by-step correction plan and implementation timeline

RECOVERY Corrective Action &
Agency Recovery

If your agency is out of compliance, has received survey deficiencies, or is at risk of decertification — we step i

  • Emergency survey deficiency response and POC development
  • Immediate corrective action planning and implementation
  • Documentation failure correction and staff retraining
  • Workflow redesign — clinical, billing, and operational
  • CMS Informal Dispute Resolution (IDR) support
  • Survey readiness preparation post-deficiency
  • License reinstatement and re-enrollment consultation

COMPLIANCE Billing, EVV & Revenue
Cycle Management

We build your entire billing and revenue infrastructure from the ground up — ensuring your agency generates, protects, and maximizes every dollar from day one.

  • Medicare home health billing — full PDGM implementation
  • Medicaid billing — fee-for-service and managed care
  • DODD and waiver billing — complex multi-staff, overlapping shift billing
  • EVV setup — Sandata integration and Alt EVV configuration
  • Electronic claim submission (837) and remittance (835)
  • Authorization tracking, validation, and management
  • Denial management — root cause analysis and appeals
  • Revenue cycle dashboards and KPI monitoring
  • Payroll and timesheet system integration
  • County-based rate structures and reimbursement optimization

WORKFORCE Staffing, HR & Training

We build your entire billing and revenue infrastructure from the ground up — ensuring your agency generates, protects, and maximizes every dollar from day one.

  • RN, LPN, and therapy staff onboarding systems
  • Home Health Aide (HHA) training program setup
  • Personal Care Aide (PCA) and DODD DSP training compliance
  • Competency evaluations and skills assessments
  • Mandatory compliance training — abuse, HIPAA, infection control
  • Performance improvement and corrective action procedures
  • Employee file and personnel record compliance review
  • HR audit readiness and supervisor documentation

GROWTH Business Operations & Scaling

Once your agency is operational, we help you grow — adding locations, service lines, and building the systems needed to scale profitably and compliantly.

  • Multi-location setup and expansion planning
  • New service line additions — waiver programs, DME, ADC
  • Workflow design and operational efficiency review
  • KPI tracking and performance reporting systems
  • Growth strategy and market analysis
  • Agency resale preparation and valuation readiness

MEDICARE & WAIVER PROGRAM EXPERTISE Medicare Nationwide. Medicaid & Waiver Programs —
Ohio Deep Specialty.

Our Medicare consulting covers all 50 states — no matter where you are located, we can enroll, certify, and keep you compliant with CMS. For Medicaid and state waiver programs, our deepest expertise is Ohio — where we are certified specialists in every program administered by ODA, DODD, and Managed Care organizations. Very few consulting firms truly understand this level of complexity. We do.

ALL 50 STATES Medicare Consulting — Nationwide

  • Medicare home health certification — CMS Form 855A and PECOS, any state
  • Conditions of Participation (CoP) compliance setup and review
  • PDGM billing implementation and reimbursement optimization
  • Survey readiness and mock surveys — all state survey agencies
  • OASIS accuracy and clinical documentation compliance
  • Accreditation — CHAP, ACHC, Joint Commission — nationwide
  • Plan of Correction (POC) and CMS IDR support

OHIO — ODA & DODD PROGRAMS (DEEPSPECIALTY) All Ohio Waiver Programs

  • PASSPORT Waiver — full enrollment, billing, and compliance
  • MyCare Ohio — dual-eligible care management and billing
  • Individual Options (IO) Waiver (DODD)
  • Level One Waiver (DODD)
  • SELF Waiver — provider setup and documentation
  • HPC (Home and Community-Based) certification
  • DSP (Direct Support Professional) training compliance

MEDICAID STATE PLAN &
MANAGED CARE Medicaid & Managed Care

  • Medicaid State Plan services enrollment — all states
  • Ohio Home Care Waiver — full setup and billing
  • MCO contracting guidance and authorization workflows
  • Complex billing structures — multi-staff, overlapping shifts
  • Authorization tracking, validation, and appeals
  • Reimbursement optimization across payer types

What We Handle — Medicare in All 50 States, Ohio Medicaid & Waiver Programs in Full

  • Provider certification & approval — all waiver types
  • EVV compliance — Sandata & Alt EVV integration
  • Service and Support Administration (SSA) coordination
  • Complex billing structures — multi-staff, overlapping shifts
  • Authorization tracking, validation, and appeals
  • Ongoing compliance audits and regulatory updates
  • Service setup — HPC, homemaker, transportation, nursing
  • Incident reporting systems and compliance monitoring
  • County-based rate structures and reimbursement optimization
  • Claims submission and reimbursement workflows

WHY CHOOSE T&A What Sets Us Apart From Every Other Consulting Firm

Most healthcare consulting firms provide generic templates and basic advice. T&A Certified Home Health Consultants builds, implements, and operates alongside you — from day one through long-term growth.

What Most Consulting Firms Do

  • Provide generic templates and leave you to figure it out
  • Advise without implementing — you do all the actual work
  • Disappear before certification is complete
  • No knowledge of state Medicaid waiver programs or
    developmental disability programs
  • No operational software solution
  • One-size-fits-all approach — same advice for every client
  • Startup only — no ongoing compliance or scale support
  • No Adult Day Care or DME expertise

What T&A Certified Home Health Consultants Does

  • We build your agency alongside you — every
    document, every step
  • We implement — policies, systems, billing,
    compliance, and operations
  • We stay until you are approved, certified, and
    fully operational
  • Medicare consulting in all 50 states — enrollment,
    billing, compliance, and survey readiness
  • Deep Ohio Medicaid specialty — all DODD, ODA,
    and Managed Care waiver programs
  • Proprietary All-In-One Home Health Software
    available to clients
  • Custom strategy — built around your goals,
    market, and service lines
  • Full lifecycle support — startup through
    scaling and expansion
  • Adult Day Care and DME startup and compliance specialists

HOW IT WORKS From Idea to Fully Operational Agency

Our proven step-by-step process has guided 199+ agencies to successful certification and operation across the United States.

Free Consultation

Strategy call to assess your goals, market, service lines, and best path to launch or improvement.

Business Formation

LLC setup, EIN, NPI registration, banking, insurance, and legal structure — done right from the start.

State Licensure

We manage all state licensing applications, facility reviews, and regulatory follow-up through approval.

Certification

Medicare, Medicaid, DODD, or DME enrollment — policies, clinical setup, and full survey preparation.

Systems Launch

Software setup, billing infrastructure, EVV integration, staff training, and operational go-live.

Ongoing Support

Compliance monitoring, internal audits, expansion consulting, and long-term growth strategy.

TECHNOLOGY ADVANTAGE Powered by All-In-One Home Health Software

Available to T&A consulting clients

Unlike any other consulting firm, T&A has developed a proprietary All-In-One Home Health Software platform — available to support agencies in maintaining ongoing compliance and operational efficiency well beyond the startup phase.

This system is not just bundled into a startup package and forgotten. It is a living operational tool designed to help agencies stay compliant every single day — not just during setup.

The platform is built specifically for home health, home care, DODD waiver, and Adult Day Care operations — with every module aligned to CMS, Ohio state, and accreditation compliance requirements.

  • EVV Tracking
  • Scheduling
  • Billing & Claims
  • OASIS Documentation
  • HR & Personnel
  • QAPI & Audit Logs
  • Multi-Agency Dashboard
  • Denial Management
  • Incident Reporting
  • Care Plan Management

EVV & Visit Tracking

Sandata and Alt EVV compatible. Real-time visit validation and documentation.

Billing & Revenue Cycle

Integrated Medicare, Medicaid, and waiver billing with 837/835 claims processing.

Clinical Documentation

OASIS, POC, visit notes, and care plans — CMS-compliant templates built in.

HR & Compliance Tracking

Employee credentials, training records, competency evaluations, and audit readiness.

QAPI & Audit Tools

Performance improvement tracking, deficiency logging, and survey-ready reporting.

Scheduling & Coordination

Staff scheduling with compliance alerts, shift management, and client matching.

WHO WE SERVE The Right Partner at Every Stage of Your Agency

Whether you are brand new to healthcare or an experienced operator looking to expand — T&A is built to meet you exactly where you are.

New Entrepreneurs

Starting from scratch and need a trusted partner to guide you through every step — from business formation to certification.

Existing Agencies

Already licensed but need Medicare, Medicaid, or waiver program certification and compliance systems.

Struggling Agencies

Facing survey deficiencies, billing issues, or compliance failures that need fast, expert corrective action.

Expanding Providers

Growing into new Medicaid waiver programs, Adult Day Care, DME, or multi-state operations and need program-specific expertise.

Medicaid Waiver Providers

Entering state Medicaid waiver, developmental disability, or HCBS programs and need specialists who know the programs inside and out.

Investors & Acquirers

Purchasing an existing agency and need due diligence, compliance review, and post-acquisition stabilization.

GET STARTED Ready to Build, Certify, or Scale Your Agency?

Whether you are starting from zero, expanding into a new service line, recovering from a compliance issue, or looking to scale — T&A Certified Home Health Consultants has the expertise, the systems, and the proven track record to deliver results. Contact us today for a free strategy consultation.

Book a Free Consultation

Tell us about your agency goals and a specialist will respond within 24 hours.