MARTIN & YOUNG
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M&Y
Operations Partners for Medicaid-Primary Home Care

You keep caregivers in homes.
We make sure every visit gets paid.

We become your back office for Medicaid home care. Our team manages EVV exceptions, Medicaid billing, denied claims, caregiver compliance, scheduling support, and operational workflows so your staff can focus on patients — not paperwork.

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EVV exceptions
Visits stuck in your aggregator instead of becoming revenue.
Rejected claims
Claims waiting weeks for someone to work them.
Missed revalidations
Expired authorizations delaying payments.
Caregiver files
Missing documentation putting compliance at risk.
The wedge

Medicaid billing & EVV exception management

Every unresolved EVV exception and rejected claim is money your agency already earned but isn't collecting. We start with a free {{ ctaNoun }}: we review your exceptions and rejections and show you exactly what you're losing.

The average agency has thousands of dollars sitting in unresolved exceptions — every month.
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Unit calculation and verification against the plan of care
EVV exception audits, visit by visit — Sandata, HHAeXchange, AuthentiCare, or your state's own system
Submit clean claims faster with proactive error resolution
Daily payer follow-up to accelerate reimbursements
Reconciliation and denial resolution
Systems we work in

Every state has different EVV rules, aggregators, edit windows, and rejection codes.

We already know them, so your team doesn't have to. A coordinator who learned one aggregator has learned one state — we work in all of them daily, and we know which failures are the system's fault and which are yours.

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Results

What changes when we take over

Every engagement is measured in the same units you are: verified visits, paid claims, days to cash. We help agencies:

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What we run

The full back office, module by module

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Wedge offer
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How it works

Start small. Expand when the work proves itself.

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Step one
The 30-day pilot
One module, fixed scope, flat fee. We take on your EVV exception backlog or your rejected-claims queue and work it for 30 days. You see the recovered dollars before any retainer is discussed.
Step two
The retainer
If the pilot pays for itself, we scope a flat monthly retainer — one module or the full back office, always below the cost of the same scope in-house.
Then, four levels of partnership
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Exact numbers come out of the {{ ctaNoun }} — every retainer is flat-fee, sized to your agency.
Why Martin & Young

Hire the function, not another vendor

01

Operators, not a call center

Our team is made up of former agency managers who ran these exact functions inside home care agencies. We sell operational competence, not seats.

02

Priced against a coordinator's salary

We're priced against the cost of an in-house billing and EVV coordinator, not against a software subscription.

03

Built for Medicaid-primary agencies

Sandata, HHAeXchange, AuthentiCare, Therap, Netsmart, CareBridge, or a state-built system — we work in whichever one your state runs.

Proof

What owners see in the first 30 days

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Where we work every day
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Who we serve

Owners and administrators of Medicaid-primary home care agencies with 30 or more caregivers.

If your agency is losing revenue to unresolved EVV exceptions, rejected claims, or a hiring pipeline that can't keep pace, that's the work we do — in your state's EVV system and your payers' portals.

FAQ

Questions owners ask

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M&Y

See what your agency is leaving on the table

30 minutes. We review your EVV exceptions and rejected claims and show you the recoverable amount. No commitment.

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MARTIN & YOUNG
Free claims & EVV {{ ctaNoun }}
30 minutes  ·  No commitment
We review your EVV exceptions and rejected claims live, and show you the recoverable amount.
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A calendar invite is on its way. Have your aggregator and clearinghouse open if you can — we'll do the rest.
MARTIN & YOUNG
Medicaid billing services  ·  EVV exception management  ·  Home care back office
Operations Partners  ·  Est. for the long term