top of page

Eighteen years of federal and state service providing technical financial expertise on how to properly and accurately submit Medicaid and CHIP expenditures to the federal government for reimbursement ensuring compliance with applicable federal regulations. Specifically, ensuring quality assurance and control of federal financial reporting of quarterly Medicaid financial reports - CMS 64, CMS 37, CMS 21B, and CMS 21, 372s, cost allocation plans, advanced planning documents, Medicaid budget tables, and assist in resolving pending deferrals and disallowances.


Capability Statement


We are a certified Woman Owned Small Business and certified Economic Disadvantaged Woman Owned Small Business organization that brings decades of experience to governmental agencies and private and public organizations needing subject matter experts in complex financial reporting, developing opportunities, and resolutions. Our team has great success working with States and healthcare providers either as Federal partners, Big 4 accounting, or through direct consultation.


  • Centers for Medicare and Medicaid (CMS) Federal expenditure reporting and budgeting

  • Financial Reviews and Auditing

  • Public Assistance Cost Allocation Plans

  • Rate Review for Managed Care and Home and Community-Based Waivers/Demonstration Waivers

  • Adverse Financial Action Remediation and Resolution/Audit Resolution

  • Medicaid Expansion Implementation and Review

  • Advance Planning Document (APD) Review and Reporting

  • Review and Reconciliation of OIG audits, Medicaid Integrity Audits, and PERM reviews

  • Program and Services Development and Monitoring


AYS Financial Management Services is headquartered in Harrisburg, Pennsylvania, and have team members located throughout the United States assigned to regional areas of responsibility. Additionally, in the COVID-19 period, at the option of the client, our organization has access to many virtual meeting platforms that allow communication and services remotely.


AYS Financial Management Services possesses distinctive experience and institutional knowledge with decades of technical experience in our capabilities along with Certified Public Accountants, Business, Healthcare, Governmental experts, and collaborative leaders. We provided technical financial expertise, policy, and regulation interpretation to state and local entities, as well as public and private entities. Management experience at the federal level included leading a team in identifying $600M in funds being returned to the federal government. Plan, coordinate and present resolutions to financial problems that involve various organizational entities.


In our federal role, we have assisted governmental, public and private organizations in operations and finances. Most notably, reduced over $100M in audit findings from the Department of Health and Human Services, Office of Inspector General (OIG); Facilitated over $2B in enterprise system development projects through collaboration with State agencies and premier system developers; increased services by over $15M Federal matching funds through Indian Health Services Collaboration. Prior work - Subcontractor - Computer Aid Client - Commonwealth of Virginia Dept of Medical Assistance Programs, NTT Data - Illinois Dept of Healthcare and Family Services, Bland - CMS Medicare - CPC+.​


  • 541990 All Other Professional, Scientific, and Technical Services

  • 541219 Other Accounting Service

  • 921190 Other General Government Support

  • 923120 Administration of Public Health Programs

A couple at a business meeting
bottom of page