Home and Community-Based Service Waivers
Improving Financial Performance for Home and Community-Based Service Providers
Build and Leverage County and State Relationships
Individual Options (IO), Level I, and Self-Empowered Life Funding (SELF) Waivers provide Individuals with Intellectual Disabilities with a wide range of possible living arrangements and services, while allowing flexibility in service provider selection. These choices can lead to more independence and control, thereby greatly improving the quality of life for many individuals who desire and would benefit from these alternatives to Intermediate Care Facilities.
Due to the complexity of local County Board of Department of Disabilities administrations, appropriate funding for these Waivers often present difficult challenges for service providers. When you provide authorized services, you need and deserve to receive the appropriate amount of payment in a timely manner. That’s where Brady Ware comes in. We are experts in helping you establish strong, respectful relationships with the County Boards where you operate, in addition to the individuals you serve and their guardians. We also help you navigate the state Department of Developmental Disabilities system to ensure proper payments.
Here are a few of the ways we work with you to establish effective operational and financial models in the waiver setting:
- Consultation regarding service authorizations through the Individual Service Planning (ISP) process. This includes, but is not limited to, the appropriate use of On-Site-On-Call (OSOC), Routine Homemaker / Personal Care, and Transportation Services.
- Consultation regarding the web-based Cost Projection Tool (CPT) ensuring the accurate payment of services billed through the Monthly Rate Calculator (MRC).
- Consultation regarding the Ohio Developmental Disabilities Profile (ODDP) process and a direct link to appropriate residential and in-home funding.
- Consultation regarding the Ohio Acuity Assessment Instrument (AAI) process and a direct link to appropriate day service funding.
- Interpretation of State Administrative Rules & Regulations
- Consultation on Cost Effective and Best Practice Operational Models
- Compilation, Review, and Audit (including governmental) Services
Key Contacts
Melessa L. Behymer, CPA
Shareholder
[email protected]
Betty L. Collins, CPA
Shareholder
[email protected]
Waiver Billing and Operational Consulting
The provider industry is complex and highly regulated with a great deal of time and effort required to perform accounting and compliance procedures.
Successfully delivering proper funding to your facility is mission critical. Our understanding of the rules and regulations, SSA responsibilities, and personal connections with county boards help ensure proper funding is delivered to your facility. Through effective communications, we negotiate the services and adjustments for the Home and Community-Based Service (HCBS) provider, resulting in time savings while still getting maximum funding allowing you to stay focused on your care priorities.
Advisor:
Administrative access, new location set up, new client set up, new employee set up, billing, code set up, PAWS, error and billing correction, applying payments, reporting, and longevity compensation
Advisor Anywhere & MITC:
Time capturing systems for EVV compliance. Developing and advocating new features for company and staff
Software:
QuickBooks, Advisor, and Sandata advisors
Billing:
MRC, IO waiver, self, LV1, and adult day services
Reporting:
Advisor, billing, payroll, employee info, client info
Marketing:
Facebook, Instagram, website, flyers, brochures, event calendars, company documentation, logos, organizing/hosting special events
Additional Services:
- Creating schedules
- Data entry/final reviewer for billing & payroll
- Payroll processing/problem solving
- Recruiting/hiring & staff retention
- Negotiation of services and funding with SSA
- Communications with service coordination & county billing department to correct billing issues and problem solve
- Day-to-Day operations and compliance
The provider industry is complex and highly regulated, which means a great deal of time and effort is required to maintain accuracy in financial operations and state compliance.
Tammy brings over two decades of accounting experience, including 16 years serving as Director. Her comprehensive background spans virtually every core function of provider operations—from managing full-scale accounting, month-end closes, and payroll for 135 employees to directing HR, recruitment, and team supervision.
While her expertise encompasses high-level financial leadership—such as executive budgeting, establishing internal risk controls, and managing audit documentation—her current focus lies in navigating the intricate nuances of residential provider care. She has deep expertise in the complex rules and processes surrounding Residential Banking, Licensed I/O Waiver Homes, and specialized billing for Residential Licensure Homes.
Throughout her career, Tammy has dedicated herself to building strong policy frameworks and upholding the integrity of fiscal controls. With her specialized compliance background and deep industry longevity, she provides clients with expert guidance and execution to provide peace of mind.
Executive Financial Leadership:
Over 20 years of accounting experience (16 years as Director), day-to-day financial oversight, annual budgeting, expense tracking, and executive presentations
Financial & Accounting Functions:
General ledger maintenance, chart of accounts, monthly closing procedures, journal entries, account analysis, balance sheet reconciliations, cash receipts, and profit & loss reporting
Compliance & Audit Expertise:
Internal controls and risk mitigation, ICF State Audits preparation, external audit documentation, and specialized expertise in Residential Banking and Licensed I/O Waiver Homes rules
Human Resources & Team Management:
Full HR oversight, recruiting, hiring, onboarding, staff training, policy and procedure development, and supervising the accounting team
Policy & Operational Strategy:
Departmental and company-wide policy development, operational controls, and corrective action planning
Software Program Proficiency:
- Expert in Sandata
- Quickbooks online
- ACS
Key Contact
Contact our Waiver Billing and Operational Consulting experts for more information:
Tammy Brown
330.323.3004