Protect Medicaid Revenue Before It Becomes a Problem
TMRA manages Medicaid applications, renewals, documentation, follow-up, escalations, and eligibility risks from start to finish—so skilled nursing facilities can reduce pendings, protect reimbursement, and maintain control of every case.
The TMRA Difference
TMRA manages the full eligibility process—not simply the application. Every case is prepared, monitored, followed, escalated, and reported with the goal of protecting Medicaid reimbursement and keeping leadership informed.
Eligibility Expertise
Practical management of applications, renewals, QITs, documentation requests, denials, appeals, and complex financial circumstances.
Proactive Case Management
Cases are actively tracked from preparation through resolution, with clear responsibility for documents, deadlines, family follow-up, and agency activity.
Escalation & Resolution
Aging and unresolved cases are reviewed at the appropriate milestones and moved through follow-up, Ombudsman, appeal, or other resolution channels when needed.
Leadership Visibility
Facility and operator leadership receive practical status information, open-item accountability, revenue-risk visibility, and clearly defined next steps.
Every Pending Medicaid Case Represents Financial Exposure
A delayed application or renewal can leave a skilled nursing facility carrying months of unpaid care. The longer the issue remains unresolved, the more difficult the case can become.
TMRA helps facilities maintain control of the eligibility process instead of waiting for problems to surface on an aging report.
Identify barriers before submission
Review income, resources, documentation, and trust requirements early.
Respond before deadlines expire
Track information requests and begin gathering documents immediately.
Escalate aging cases appropriately
Document follow-up and move unresolved cases through the correct escalation path.
Medicaid Revenue Exposure
Support at Every Stage of the Medicaid Process
TMRA provides focused Medicaid eligibility support for skilled nursing facilities, from admission and application preparation through renewals, escalations, appeals, and ongoing revenue-risk visibility.
Outsourced Medicaid Management
Complete management of Medicaid applications, renewals, documentation, HHSC communication, family coordination, pending cases, and escalation activity.
Explore Full Management →Revenue Protection Reviews
Structured reviews that identify aging cases, renewal exposure, process gaps, and opportunities to strengthen Medicaid revenue control.
Review the Service →QIT Setup & Management
Correct setup, funding guidance, monthly review, and ongoing Qualified Income Trust compliance support.
Learn About QIT Support →Appeals & Ombudsman Assistance
Organized case review, appeal preparation, conference support, and escalation of delayed or unresolved eligibility issues.
Explore Appeal Support →IME / Prior Months Coverage
Evaluation and documentation support for eligible months before the application month.
Review Coverage Support →Medicaid Management That Continues After Submission
Every case follows a visible, repeatable process designed to keep the next required action clear.
Prepare
Review eligibility, identify barriers, and gather supporting documentation.
Submit
Complete the application or renewal and confirm successful filing.
Monitor
Track case status, notices, information requests, and response deadlines.
Resolve
Respond, follow up, escalate, appeal, and continue until the case reaches resolution.
The goal is not simply to submit forms and forget about it. The goal is to maintain control of the eligibility process from beginning to end.
TMRA Medicaid Management StandardBuilt Around the Realities of Skilled Nursing Operations
Your facility needs more than application entry. You need someone watching the deadlines, documentation, family response, agency activity, and revenue exposure attached to every open case.
Complete case ownership
Clear responsibility for every application, renewal, and unresolved issue.
Documented follow-through
Calls, submissions, notices, responses, and escalation activity are tracked.
Support for existing facility teams
TMRA strengthens the process without placing additional burden on business office staff.
Revenue-risk visibility
Leadership can see which cases require attention and what must happen next.
TMRA Revenue Protection Center
Use practical calculators and planning tools to evaluate timing, workload, pending-case exposure, prior-month coverage, and recertification risk.
How Well Is Your Facility Protecting Medicaid Revenue?
Complete the free Medicaid Revenue Assessment to evaluate current workflows, identify hidden exposure, and uncover practical opportunities to improve eligibility management.
Take the Free Revenue Assessment