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.
Ohio — Deep Specialty
All Ohio State Programs
Our deep specialty is every Ohio state program. The programs below are examples, not the limit. If your program is run by ODA, DODD, ODM, or a Managed Care organization, we work in it.
ODA
Ohio Department of Aging
- PASSPORT Waiver — full enrollment, billing, and compliance
- Assisted Living Waiver
- ODA provider certification
- Coordination with PASSPORT Administrative Agencies
- All other ODA programs
DODD
Ohio Department of Developmental Disabilities
- Individual Options (IO) Waiver
- Level One Waiver
- SELF Waiver — provider setup and documentation
- Homemaker/Personal Care (HPC) certification
- DSP (Direct Support Professional) training compliance
- Service and Support Administration (SSA) coordination
- All other DODD programs
ODM & MCO
Ohio Department of Medicaid & Managed Care
- MyCare Ohio and Next Generation MyCare — dual-eligible care management and billing
- Ohio Home Care Waiver — full setup and billing
- OhioRISE Waiver
- Specialized Recovery Services
- HOME Choice
- Medicaid State Plan services
- Managed Care contracting and credentialing
- All other ODM and Managed Care programs
Ohio waiver services
Service setup across every program
Provider certification, documentation, EVV, and billing for the services Ohio waiver programs pay for, including these and more.
- Personal Care
- Homemaker
- Homemaker/Personal Care (HPC)
- Home Care Attendant
- Waiver Nursing
- Adult Day Services
- Adult Day Support
- Non-Medical Transportation
- Waiver Transportation
- Home-Delivered Meals
- Home Maintenance & Chores
- Home Modification
- Home Medical Equipment & Supplies
- Personal Emergency Response Systems
- Out-of-Home Respite
- Community Integration
- Community Transition
- Assisted Living
- Shared Living
- Remote Supports
- Employment Supports
- Vocational Habilitation
- Social Work & Counseling
- Nutritional Consultation
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
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
Ready to Build, Certify, or Scale Your Agency?
Contact us today for a free strategy consultation.