Human Services

Making quality care accessible
to those who need it most.

Our Human Services team partners with state agencies to navigate the complexities of federally funded programs. We work closely with you to streamline eligibility determination; ensure compliance; improve accountability; prevent fraud, waste and abuse; and boost sustainability, while driving innovation in value-based care, inter-agency funding models, and rural health initiatives. At HORNE, we bring a total commitment to improving access and care for those who are most in need.

Driving resilience for programs that improve the lives of our most vulnerable populations.

We provide strategic guidance across TANF, SNAP, WIC, child welfare, Medicaid, and other critical safety net programs, helping agencies enhance oversight, optimize funding, and improve service delivery. Our deep expertise in subrecipient monitoring, cost allocation, grant management, and performance evaluations helps states maximize the impact of every federal dollar, while maintaining program integrity.

Our Human Services Solutions:

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Temporary Assistance for Needy Families (TANF)

  • Subrecipient Monitoring to ensure compliance with federal and state requirements.
  • Performance & Fiscal Reviews to assess the effectiveness of TANF-funded programs.
  • Cost Allocation & Eligibility Audits to optimize funding and program integrity.
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Supplemental Nutrition Assistance Program (SNAP)

  • Retailer Compliance Audits to prevent fraud and misuse of benefits.
  • Improper Payment Assessments to monitor eligibility accuracy and financial integrity.
  • State Agency Fiscal & Performance Reviews to enhance program efficiency.
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WIC (Women, Infants, and Children)

  • Grant Compliance & Financial Monitoring for federal WIC funding.
  • Vendor Management & Oversight to ensure proper distribution of WIC benefits.
  • Program Evaluation to assess the impact of WIC services.
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SSBG & CSBG (Social Services Block Grant & Community Services Block Grant)

  • Grant Management & Compliance Reviews to ensure proper use of block grant funds.
  • Subrecipient Financial Monitoring for nonprofit and local agency partners.
  • Performance-Based Budgeting & Impact Analysis to measure program outcomes.
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Child Welfare & Foster Care Programs (Title IV-E & IV-B)

  • Title IV-E Eligibility Audits & Cost Reporting to support funding compliance.
  • Financial & Performance Monitoring of Foster Care & Adoption Assistance programs.
  • Subrecipient Monitoring of Local Agencies & Nonprofits to ensure accountability.
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Medicaid

  • Navigate complex Medicaid regulations to ensure state compliance and maximize funding opportunities.
  • Advise on federal policy changes and their potential impact on state Medicaid and human services programs.
  • Enhance Managed Care & Value-Based Payment Models to improve service delivery and oversight.
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Inter-Agency Federal Funding

  • Implement and monitor federal financing mechanisms utilizing Certified Public Expenditures (CPE), Intergovernmental Transfers (IGTs), and Provider Taxes.
  • Design and administer inter-agency Medicaid programs, ensuring effective collaboration across stakeholder groups.
  • Optimize Cost Allocation Strategies to maximize federal reimbursement while maintaining compliance.

Insights and
Resources

Medicaid Work Requirements: Bridging Data Gaps

Under the 2025 Act, formerly the One Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025, federal law now requires certain adults...

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Medicaid Work Requirements: Community & Communication

Under the 2025 Act, formerly the One Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025, federal law now requires certain adults...

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Implementing Medicaid Work and Community Engagement Requirements: Simple Math

Under the One Big Beautiful Bill Act (OBBBA) signed into law on July 4, 2025, federal law now requires certain adults enrolled in the Medicaid...

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Implementing Medicaid Work and Community Engagement Requirements

Federal law now mandates that specific adults enrolled in the Medicaid program must show compliance with work and community engagement requirements....

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IRS to Transition to Electronic Payment

Starting September 30, 2025, the federal government will no longer issue or accept paper checks for any payments—including IRS refunds, Social...

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Work It Out: Turning Medicaid Work Mandates into Social-Needs Success

The most proactive providers may see that public-provider partnerships addressing health-related social needs (HRSN) will be increasingly critical to...

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Automation & Enhanced Productivity

Process automation empowers teams to work more effectively. HORNE finds opportunities to restructure workflows and take advantage of automation.


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