Defensible CMS-64 output in 5 business days. No system access. No PHI.
Recover underreported federal share, attribute variance at line level, and return submission-ready outputs aligned to OBA scoring and federal response requirements.
Protects federal funding, supports OBA expenditure scoring, and strengthens submission defensibility.
Captures underreported federal share tied to prior CMS-64 submissions.
Not reporting software. Not generic analytics. Not consulting labor.
Medicaid program directors, delivery leads, and T-MSIS/reporting owners within prime contractors.
Recover underreported federal share, identify and attribute variance at line level, and return defensible CMS-64 outputs before submission triggers funding deferrals, OBA penalties, or corrective action plans.
Required inputs: CMS-64 extracts, supporting schedules, and prior-quarter reports.
Delivered as a submission-defense package with line-item attribution and variance narratives.
Revenue captured. Variance controlled. Every line item defensible before submission.
Engagements are scoped only where the work is reporting delivery on live programs.
Federal share underreporting. Expenditures eligible for higher federal matching go unclaimed because FMAP rates are applied to the wrong categories.
FMAP misalignment. Federal matching percentages don't match actual expenditure categorization. The variance compounds silently across quarters.
Category misclassification. Expenditures reported under incorrect CMS-64 line items. Federal share calculated against wrong rates.
Prior-period adjustment leakage. Adjustments from prior quarters not reconciled to state accounting. Incomplete carry-forward creates compounding funding gaps.
Certix execution package: line-item variance attribution, FMAP-applied share computation, validation log, variance narratives and exception logs structured for federal audit defense and response submission.
Built against public CMS-64 line-item structures for multi-state Medicaid programs.
View sample output →CMS reporting requirements have tightened. T-MSIS V4.0 is enforced. OBA scoring ties submission quality directly to federal funding outcomes. 60-day response windows are now standard on flagged submissions.
Uncaptured revenue and undefended variance compound across cycles. Each submission without pre-audit variance attribution increases federal review exposure and remediation cost.
Revenue capture and submission defensibility are now funding risks, not operational details.
Underreported federal share identified and recovered. CMS-64 and T-MSIS packages reconciled against current CMS validation rules with line-level variance attribution.
Reporting cycles run on Certix capacity. Volume scales per cycle, not per hire. No staffing delays during reporting windows.
Data lineage, transformation logic, and submission defense evidence ship with every deliverable. Reduces audit exposure from day one.
Submission defense built against current CMS acceptance criteria. Executed under prime governance. No outdated rule sets.
Stateless architecture. No persistent storage of government data.
Deliverables structured for federal audit review and formal response submission.
Aligned to current CMS reporting structures and validation expectations.
Most revenue loss and compliance failures surface after submission — when correction cost is highest and federal review exposure is already locked in.
Fixed-fee revenue capture, variance control, and defensible CMS-64 output. Identify underreported federal share and attribute variance before submission. 5-day turnaround.
Mapping and reconciliation for new reporting templates, T-MSIS transitions, and CMS-64 structure changes. Revenue capture, variance control, and defensible output included.
Targeted variance attribution for programs under federal review, corrective action plans, or active deferral resolution. Defense-grade documentation.
Four phases. Revenue capture, variance control, and defensible output — in one fixed-scope motion.
Deliverables structured for federal audit review and formal response submission.
Supports OBA expenditure scoring targets and submission defensibility.
No procurement cycle required. Scoped, priced, and deployable within your existing contract vehicle.
Typically funded under remediation, CAP, or compliance stabilization workstreams — not a new software line item.
Download Capability Statement (PDF)| NAICS | 541519 • 541611 • 541618 541519 Other Computer Related Services • 541611 Administrative & General Management Consulting • 541618 Other Management Consulting |
| Engagement Model | Fixed-scope • Fixed-deliverable • No open-ended retainers |
| Subcontract Role | Execution layer under prime governance — zero integration lift |
| Subcontracting Fit | CMS-64 revenue capture, variance attribution, submission defense |
| Availability | Deployable now under prime-led Medicaid system integrators |
| Risk Posture | No MES access • No PHI • No schema changes required |
| SDB | Small business, SDB-eligible (pending SAM registration) |
US-based secure environment. All inquiries confidential.
Outputs structured for revenue capture, variance control, submission defense, and federal review standards.
Security posture aligned to federal data environment expectations.