Health & Human Services

Our strength in offering the best Health and Human Services Revenue Management services at the lowest price is our PEOPLE and our SYSTEMS.

Our Services Include :

  • Program Consulting
  • Federal Claiming and Regulatory Compliance
  • Cost Allocation
  • Financial Management
  • Rate Setting
  • Financial and Regulatory Healthcare Consulting in Medicaid, Title IV-E, CHIP, TANF, SSI, Medicare and a range of block grant funding

Our experience includes revenue management services in mental health, child welfare, developmental disability, substance abuse, public health, financial assistance, child care, juvenile justice, long term care services, and drug and alcohol services.

Changes in state plans, waiver requests and other required regulatory submissions require extreme attention to detail and extensive interactions with State and Federal officials. We approach our interactions with regulatory staff as a cooperative partnership, and our focus is to ensure compliance to avoid the risk of potential disallowances. Our team's thorough programmatic and revenue recovery knowledge and practical understanding of what it takes to operate and manage state programs drives our innovative, adaptable and effective revenue recovery designs.

Our Team:

Our consultants have delivered revenue management services to more than 25 states resulting in hundreds of millions of dollars in federal revenue recoveries.

Our Solutions:

Our state-of-the art, web-based HIPAA- and FERPA-compliant Administrative Claiming System, e-SivicMACS, collects observation data from program participants using the Random Moment Time Study module and offers end-to-end functionality from collecting roster data to generating the Administrative Claims for numerous Federal programs including Medicaid, SNAP, TANF, IV-E, IV-D, and CHIP. The system supports policy changes with minimal modifications to the code driven by our core design and architecture.

We also offer our web-based, HIPAA-compliant Medicaid Rehabilitative Option (MRO) and Targeted Case Management (TCM) claiming systems which are successfully supporting hundreds of social services agencies in states across the nation. Our systems provide web-based service capture, claiming, third-party billing, document capture, and payment reconciliation functionality.

SSG’s e-SivicCAP cost allocation system is designed to handle the complexities of large state and county human service agencies. This solution affords clients the ability to configure the system, thus avoiding the need to rely on development staff to implement CAP changes.

Our Pricing:

We offer industry-leading, value-driven pricing that allows our clients to maximize the revenue available to serve their students.

Cost Allocation Services – e-SivicCAP

The SSG team possesses extensive cost allocation experience from providing services to more than 25 states, developing and modifying PACAPs, negotiating Plan acceptance with federal agencies, developing indirect cost plans, reviewing and implementing time studies, and providing cost allocation systems that generate claim information in accordance with Federal claiming requirements and formats.

Our Team:

SSG’s Cost Allocation team includes a Lead consultant with 30 years’ experience who has managed more than 25 cost allocation plan projects focused on maximizing and protecting federal reimbursements. The consulting team consists of senior cost allocation and revenue management consultants who, as a team, have provided cost allocation services to more than 30 states.

Our Solutions:

Our state-of-the art, web-based cost allocation system, e-SivicCAP, is hosted by SSG and is designed to support large and complex human service agency needs. The system supports all components of state and county Cost Allocation Plans (CAPs), including allocation statistic data entry and import functionality, security access with full or limited access, structured version control, leave time allocation processes, multiple levels of approval, and flexible and powerful reporting. The system is designed to allow clients to configure the system to meet business needs and the approved CAP, thus avoiding the need for computer development staff to implement CAP changes.

Our Pricing:

We offer industry-leading, value-driven pricing that allows our clients to maximize the revenue available to serve their students.

Revenue Enhancement

The SSG team includes experts with more than 25 years of revenue maximization experience in more than 30 states. Our team has unparalleled, web-based systems that utilize the most advanced technology including Federal claiming systems and our cost allocation solution, e-SivicCAP.

SSG offers fresh insights combined with a fiscally conservative approach for our clients. Our team possesses extensive experience in the assessment and documentation of social services Federal claiming processes to increase Medicaid, Title IV-E, CHIP, TANF, SSI, and Medicare revenues and we have implemented comprehensive processes to ensure revenue protection.

The SSG team works in close collaboration with our clients to design effective quality assurance programs with detailed quality control measures to ensure compliance. Our goal is to design and implement programs with minimal or no negative audit findings to minimize the potential for future disallowances. Our team's thorough programmatic and revenue recovery expertise and practical understanding of what it takes to operate and manage state programs drives our innovative, adaptable and effective designs.

Revenue Management Compliance

Ensuring compliance with applicable Federal requirements is of utmost importance in ensuring the success of Federal revenue management programs. The SSG team leverages our experience and expertise to ensure auditability and compliance with oversight agencies including CMS, ACF and the OIG. We conduct thorough compliance reviews and assist states in preparing for and managing the Federal audit process.