Medicaid Waiver Provider Accounting

healthcare doctor happily chatting to patient

Maryland DDA Medicaid Waiver Provider Accounting, Cost Report & Compliance Support

Maryland DDA providers operate in a highly regulated environment where accurate accounting, complete documentation, and timely financial reporting matter. LGE Advisory Services helps DDA Medicaid waiver providers organize their financial records, prepare required submissions, and stay audit-ready throughout the year. We support agencies providing traditional DDA Medicaid waiver services, including residential, day, community learning, supported employment, employment discovery and customization, personal support, and related waiver services.

Call 443-273-3740 or schedule a consultation to discuss your DDA reporting needs.

CPA Support for DDA Cost Reports, GL Data Collection & Audit Readiness

DDA reporting is not just a year-end task. Providers need clean books, accurate cost allocations, supportable payroll and service-cost data, reconciled revenue, and documentation that ties back to audited financial statements.

Our team helps providers prepare for:

• DDA cost report preparation and review

• General Ledger Data Collection Tool support

• Audited financial statement coordination

• PCIS2 and LTSSMaryland revenue reconciliation

• Cost allocation schedules

• Supporting documentation packages

• Independent CPA attestation support

• Audit-ready recordkeeping

• Management reporting and compliance calendars

DDA Cost Report Preparation

We help providers compile and review the financial information needed for DDA cost reporting, including service-level expenses, revenue, attendance-related data, cost allocations, and financial statement reconciliation.

Our process is designed to help you identify issues before submission, reduce back-and-forth, and maintain a clear audit trail for reported amounts.

General Ledger Data Collection Tool Support

Maryland DDA providers may be required to submit detailed cost data used to inform traditional Medicaid waiver service rates. We help providers organize their general ledger data by service, cost category, location, and allocation methodology.

We can assist with:

• Mapping your chart of accounts to DDA cost categories

• Separating billable and non-billable costs

• Reviewing direct support professional payroll classifications

• Documenting cost allocation assumptions

• Reconciling GL data to internal financial reports

• Preparing management review files before submission

Audit-Ready Financial Records

A strong compliance program starts with clean accounting records. We help DDA providers maintain accounting systems that support financial reporting, funding compliance, and operational decision-making.

Services include:

• Monthly bookkeeping review

• Payroll and benefits expense reconciliation

• Revenue cycle reconciliation

• Grant and Medicaid payment tracking

• Room and board / contribution-to-care support

• Expense classification cleanup

• Supporting documentation organization

• Year-end close assistance

Why DDA Providers Work With LGE Advisory Services

DDA providers need more than basic bookkeeping. They need a CPA partner who understands Medicaid-funded service delivery, cost reporting, documentation requirements, and the operational realities of human services organizations.

With LGE Advisory Services, you receive:

• CPA-led review and reporting support

• Clear communication with your finance and leadership team

• Organized workpapers and documentation

• Practical recommendations for improving financial systems

• Support before, during, and after submission deadlines

• A proactive compliance calendar to reduce last-minute pressure

Who We Serve

We work with Maryland DDA providers, including agencies delivering:

• Residential services

• Day habilitation services

• Community learning services

• Supported employment services

• Employment discovery and customization services

• Personal supports

• Other traditional Medicaid waiver services

Get Your DDA Financial Reporting Under Control

Whether you need help preparing a cost report, completing the GL Data Collection Tool, cleaning up your books, or getting ready for an audit, LGE Advisory Services can help.

Contact us today at 443-273-3740 to schedule a consultation.

Frequently Asked Questions

Yes. We assist Maryland DDA providers with cost report preparation, financial statement tie-outs, cost allocations, supporting documentation, and CPA review support.

Yes. We help providers map general ledger accounts to cost categories, review payroll and service-level costs, document allocation methods, and organize files for management review before submission.

Yes. We can help clean up your accounting records, reconcile revenue and payroll, classify expenses, and prepare schedules needed for DDA or audit reporting.