Stop letting donor dollars cover Medicaid's tab.
We give healthcare hospitality teams the confidence to bill Medicaid without the confusion and chaos.
The Problem
You provide more than a place to stay—you provide stability during crisis. When a stay is Medicaid-eligible, reimbursement should be straightforward.
But instead, it feels like a puzzle: inconsistent Managed Care Organization (MCO) rules, unclear pre-authorization processes, and emergency stays create a maze of obstacles. Even with the best intentions, billing falls through the cracks.
The result? Donor funds meant for comfort and care are quietly covering nights Medicaid should have reimbursed.
How It Plays Out
Consider a mid-sized Healthcare Hospitality House that serves ~500 Medicaid-covered families in a year for a total of 5,000 nights. If Medicaid would reimburse $75/night for lodging, that’s $375K potential reimbursement.
If that one House isn’t set up to bill, that’s $375,000 of donor-subsidized costs for the year.
Why It Matters
Every $1 you don’t bill Medicaid = a $1 you must fundraise the hard way.
Stewardship Suffers
Donors are unintentionally subsidizing a public benefit, as boards lose line-of-sight to a recoverable revenue stream.
Inequity Wins
Medicaid exists to reduce the burden on families, but when billing fails, charities absorb the cost.
Families Lose
Dollars spent plugging Medicaid gaps can’t be used to fund more rooms, meals, or staff for families in need.
About TAHHMI
The Medicaid gap is a critical issue facing Healthcare Hospitality Houses across the country, costing an estimated $36M+ in unclaimed reimbursements annually.
- Over 50% aren’t billing Medicaid for eligible nights, leaving crucial revenue on the table.
- Of the Houses that do bill, over 81% face billing blind spots and execution errors, resulting in costly denials and lost revenue.
- 83% of respondents indicated a desire for assistance with Medicaid billing, signaling a widespread need for guidance, clarity, and support.
Trude Henderson, a nationally recognized High-Reliability Organization (HRO) expert with 25+ years of experience in healthcare and operational systems, founded Trusted Advocates for Healthcare Hospitality Medicaid Intelligence (TAHHMI) with a deep respect for your mission and the families you serve.
After conducting in-depth surveys, interviews, and workflow studies, she uncovered the root causes behind these missed dollars.
With a background in human-centered design and technology, Trude created TAHHMI to meet teams where they are—offering practical tools, clear guidance, and advocacy that honors both the complexity of Medicaid and the compassion that drives your work.
What we found were not just administrative headaches, but systemic breakdowns: manual workflows, segmented applications that don’t talk to each other, inconsistent MCO requirements, and a lack of billing expertise—all of which are costing nonprofits millions and draining donor funds to cover the shortfall.
Trude Henderson
How We Help
We help to fix what’s broken, simplify what’s confusing, and help you get paid what you’re owed.
Diagnose
We help you identify the gaps in your process and how much money you’re leaving on the table.
Deploy
We leverage robust toolkits and proprietary resources to help fix your billing processes.
Get Paid
We help you turn denials into dollars that can be reinvested where they belong—in families.
Ready to protect donor dollars and get reimbursed for eligible stays?
