Turning County Compliance Mandates Into Working Systems
Focus on Finance Compliance — Without the Guesswork
We help LA County SAPC/SUD providers meet the County's new financial reporting, cost-allocation, and data-security requirements — and capture Cohort 3 VBI incentive funding while doing it.
NDA · BAA · QSOA on every engagement — because it's substance use disorder data, not typical consulting.
Why This Is Not Optional
LA County is mandating Focus on Finance compliance across its entire SAPC provider network — on the County's timeline, not yours.
SAPC IN 26-06 — Fiscal Reporting Process
Standardizes org-level financial reporting, tied to rate-tier determination.
SAPC IN 26-05 — Annual Fiscal Compliance Reviews
Audits cost-allocation methodology and internal controls with the County Auditor-Controller — how the numbers are produced, not just what's reported.
42 CFR Part 2 — Federal Confidentiality Rules
Governs how SUD treatment data is stored, accessed, and disclosed. Civil enforcement began February 2026.
This is a reporting requirement, a cost-allocation requirement, and a data-confidentiality requirement — all at once. Not just a new report to fill out.
What We Do
We design and implement the reporting, cost-allocation, and back-office systems your next Fiscal Compliance Review will test.
County & CIBHS Reporting
Dashboards replace manual reconciliation, cutting time and transcription-error risk.
Reduced Audit Risk
Cost-allocation and billing accuracy checked before submission — not discovered later as a clawback.
Leadership Visibility
Your executive team gets one real-time view instead of periodic manual reports.
Scalability to Future Sites
A validated single-site model becomes a reusable template for expansion.
Stronger County Relationship
Demonstrated compliance maturity ahead of enforcement.
Future Funding Readiness
A documented cost-allocation structure if federal awards ever cross the Single Audit threshold.
“We're running this exact model for a 15-year SAPC provider expanding from one site to three — you get a tested playbook, not a pilot.”
Our Approach
A phased engagement mapped directly to the County's Cohort 3 submission deadlines — every dollar of incentive funding has a corresponding deliverable.
Phase 1
Assessment & Roadmap
Through 9/30/26
Funds Submission 1 ($15,000)
Phase 2
Readiness Assessment
Through 12/15/26
Funds Submission 2 ($15,000)
Phase 3
Full Implementation
Through 3/31/27
Funds Submission 3 ($40,000)
Phase 4
Ongoing Advisory (optional)
Dashboard maintenance, quarterly check-ins
Missing a Cohort 3 deadline doesn't just delay the project — it forfeits that submission's incentive payment. Each phase is scoped to deliver its submission on time.
Your Data, Protected
Substance use disorder data carries legal protections most consultants never touch. We operate under all three agreements — not just an NDA.
Consulting NDA
Standard mutual NDA covering the engagement itself.
Business Associate Agreement (BAA)
Standard HIPAA agreement for any protected health information beyond substance-use-specific records.
Qualified Service Organization Agreement (QSOA)
Required under 42 CFR Part 2 for any access to SUD treatment records; legally binds us to resist outside attempts — subpoenas, court orders — to access those records except as narrowly allowed by law.
VPN for administrative access
Back-office access to Odoo/Power BI routes through VPN rather than sitting exposed on the open internet.
Native role-based access controls
Platform-level permissions (Power BI row-level security, Odoo user groups) instead of shared logins.
Insured — professional liability (E&O) and cyber liability coverage meeting LA County's standard minimums.
Who We Are
Peerwise Consulting is led by Manuel J. Alvarez — enterprise systems and financial-controls experience, now focused on SUD/behavioral-health providers.
ERP & Systems Leadership
Led SAP sourcing/logistics rollout at Levi Strauss; directed a $400M Vendor-Managed Inventory program at Gap.
SaaS Implementation in Healthcare
Director of Client Operations at Evant/Manhattan Associates, implementing SaaS for the largest pharmaceutical distributor in the US.
Multi-Site P&L Ownership
$7M revenue / $4M EBITDA across a 20-office, 200-person portfolio.
Financial Due Diligence
Completed 55 acquisitions/conversions at H&R Block.
Insured & Accountable
Professional liability (E&O) and cyber liability coverage meeting LA County's standard minimums.
Get Started
A free 30-minute call maps your current systems against Focus on Finance requirements — no obligation.
- 1
Schedule a Discovery Call
A free 30-minute conversation to map your current systems against LA County's Focus on Finance requirements.
- 2
Get a Custom Readiness Assessment
We scope Phases 1–3 to your facility's size, systems, and Cohort 3 submission dates — a proposal, not a guess.
- 3
Hit Your Cohort 3 Deadlines
Move quickly enough to capture Submission 1 funding before the County's 09/30/26 deadline.
manuel@peerwiseconsulting.com · 424-241-0046 · Los Angeles, CA
Schedule a Discovery Call