The MSO built for
ERMHS and braided-funding NPAs.
Mental health NPAs bill Educationally Related Mental Health Services through LEAs — and often braid in county MHP and Medi-Cal funding. That creates audit and cost-reporting exposure no generalist CPA is built for. We are.
Braided funding multiplies your audit surface.
LMFTs, LCSWs, LPCCs, and psychologists serving ERMHS rarely bill one payer cleanly. Without proper cost allocation between ERMHS, county MHP, and Medi-Cal streams, every audit becomes a fire drill.
ERMHS revenue is ISA-driven
Per-student, per-service-unit, tied to IEP frequency and duration. The same reconciliation discipline as SLP and ABA, but with ERMHS-specific documentation rules.
Braided funding needs allocation
When the same clinician serves an ERMHS caseload and a county Medi-Cal caseload, labor and overhead must be allocated correctly. Wrong allocation = failed cost report.
Licensure status changes the cost
Pre-licensed associates billed under a supervisor have a different effective cost than fully licensed clinicians. 5 CCR §3051 qualification tracking is non-optional.
Three tiers — from ERMHS-only solo to multi-program braided.
Locked 12-month retainers. Tier complexity scales with the number of funding streams you braid.
Flat-fee project work — layer onto any tier.
For the events that don’t belong in a monthly retainer.
Plus reasonable comp study, LEA Master Contract / ISA rate review, QuickBooks NPA setup, and 90-day fractional CFO sprints — see the full menu on the Pricing page.
Three positioning guardrails — every engagement, every tier.
Mental health NPAs carry the strictest licensed-professional ownership rules in the special-education stack. Our scope is built to respect them.
Administrative scope only
The MSO does not own, direct, or share clinical fees — particularly important for the mental-health niche where licensed-professional ownership is strictly enforced. Back-office services only.
The CDE certification is yours
Certification belongs to the NPA, not to us. We prepare the renewal financials and hit the Oct 31 deadline — the NPA owns the CDE relationship and clinical accountability.
The ISA is the revenue atom
We reconcile delivered ERMHS units against ISA-authorized units monthly, and allocate braided funding correctly across ERMHS, county MHP, and Medi-Cal — catching leakage at the source.
You work with a senior partner. Always.
Healthcare practice owners need a CPA who actually understands the practice — not a generalist running through a checklist. Every engagement is partner-led from discovery through ongoing advisory.
That is why our discovery calls run 30 minutes (not 15). It is why we cap our practice at the number of owners a senior partner can directly know. And it is why our client retention runs 4–7 years per practice.
An MSO that handles ERMHS, county MHP, and Medi-Cal cleanly.
A 30-minute conversation with a senior CPA partner. We will walk through your funding mix, licensure-stack costs, and which tier fits where your mental health NPA is today.
Want the partner-led second opinion — for free?
A 30-min call with a senior CPA partner. No pitch, no obligation. You leave with 1–2 specific tax moves your current CPA may have missed.
Book My Free Call →