RuleBridge, LLC · Small Disadvantaged Business
From Federal Rule to Working Program
Medicaid and behavioral health expertise for CMS, states and providers, from policy design through implementation and funding.
- 17+States and territories served
- CMSAdvised CMS on federal Medicaid and behavioral health programs
- 15+Years in federal and state health programs
For CMS
Federal Programs
We advised CMS on the CCBHC demonstration and Sections 5121 and 5122, and led technical assistance for states and Section 206 grantees, directly and as a subcontractor.
Discuss a CMS ProjectFor States
State Agencies
Design, federal approval and launch support for Medicaid, behavioral health and correctional health programs.
Plan Your Next ProgramFor Providers
Clinics & Organizations
Federal grants, program design and CCBHC readiness, from the first application to managing the award.
Get Grant or CCBHC HelpWhat we do
Eight Areas of Expertise
Medicaid
Program design, implementation and operations for state and territory programs.
- Section 1115 waivers, state plan amendments, Health Homes and home and community-based services
- Managed care design, health plan procurement and contracting
Behavioral Health
Mental health and substance use programs that work inside Medicaid.
- Managed care carve-ins, carve-outs and integration
- SUPPORT Act and SUD 1115 demonstrations
CCBHC
Planning, payment and implementation for Certified Community Behavioral Health Clinics.
- Demonstration applications, including a state application selected for the demonstration
- Prospective payment rates, quality bonus payments and managed care billing
Mental Health Parity
Mental health and substance use parity (MHPAEA) for Medicaid, CHIP and commercial health plans.
- Treatment limit analyses, including prior authorization and network rules
- Parity work across 13+ state programs
Network Adequacy
Provider network assessments for Medicaid and commercial health plans.
- Provider ratios and time and distance standards
- Gap analysis and network recommendations
Carceral Health
Health care for people in custody and returning to the community.
- Medicaid reentry Section 1115 demonstrations
- Coverage and care for youth leaving juvenile facilities
Court Monitor Support
Independent support to federal court monitors on consent decrees.
- Review of state data and implementation plans
- Drafting support for monitor reports
Grant Writing & Management
Federal grant applications written, submitted and managed through closeout.
- SAMHSA, HRSA, HHS, DOJ and Department of Education
- Narratives, budgets, reporting and evaluation
Authority to result
What We Bridge
Every engagement starts with a federal requirement and ends with a program that works.
42 CFR Part 438 · Medicaid managed care
Behavioral health paid correctly through managed care
Medicaid reentry · Section 1115 · Sections 5121–5122
Care that continues after release from custody
MHPAEA · Medicaid, CHIP, commercial
Benefits that meet parity standards
42 CFR 438.68 · Network adequacy
Provider networks that meet access standards
Section 223 · CCBHC demonstration
Clinics certified, paid and reporting quality to CMS
Federal consent decrees
State systems that meet court-ordered requirements
SAMHSA · HRSA · DOJ · ED funding
Federal funding won and managed
Our work
Selected Engagements
Carceral Health
Sections 5121, 5122 and 206 technical assistance
CMS
Advised CMS on implementing Sections 5121 and 5122 and led technical assistance to states and Section 206 grantees.
CCBHC
CCBHC planning and demonstration application
State behavioral health authority
Led the statewide needs assessment and wrote the state’s Section 223 application, which was selected. Now supporting implementation.
Network Adequacy
Health plan network adequacy assessments
Medicaid and commercial health plans
Assessments of provider-to-member ratios, time and distance standards and provider locations, with network recommendations.
Court Monitor
Developmental disabilities consent decree
Federal court monitor
Support to the monitor overseeing a state’s system change for people with intellectual and developmental disabilities.
Behavioral Health
Section 223 CCBHC demonstration
CMS
Advised CMS and led technical assistance to states on payment, managed care and quality bonus payments.
Grants
Federal grant writing and management
Behavioral health organizations and a university
SAMHSA applications and Department of Education grant management and reporting.
How We Work
One team from the first requirement to a funded, running program.
Plan
Needs assessments, stakeholder input and a clear read of what federal rules require.
Design
Program, payment and policy design, plus the applications and waivers that win approval.
Implement
Readiness, go-live, billing and reporting support until the program runs.
Fund
Federal grants and sustainable financing that keep the program going.
About
Senior-Led, Expert-Backed
RuleBridge engagements are led by senior staff and supported by a bench of subject matter experts, including former state Medicaid directors and federal health officials, matched to each project.
Jonathan Myers, MS
President & CEO
Jonathan leads RuleBridge and brings more than 15 years of experience in federal, state and local health programs across more than 17 states and territories. At RuleBridge he has advised CMS on the CCBHC demonstration and on Sections 5121 and 5122, led a state’s CCBHC planning and its selected demonstration application, and leads the firm’s network adequacy, court monitor and federal grant work.
Before RuleBridge, Jonathan spent ten years at Mercer, rising to Principal. He led Section 1115 waiver, substance use disorder and Health Home programs for states, territories and tribal communities, designed state Medicaid quality strategies, ran managed care and pharmacy benefit procurements, led mental health parity work for more than 13 state programs, and managed a 25-person team on a statewide legislative review of a Medicaid program.
As a Managing Director at FTI Consulting, he directed behavioral health managed care work across Medicaid and Medicare, led Medicaid implementation support in Puerto Rico and the U.S. Virgin Islands, and managed Medicaid and Medicare Advantage procurements. He holds an MS in War and Psychiatry with distinction from King’s College London and a BA in Psychology from Stony Brook University.
Contact UsContact Us
Have a federal deadline? Let’s talk.
Tell us what you’re working on and where you need help. We work directly with agencies and providers, and team with prime contractors as a subcontractor.
- Launching a Medicaid program
- Applying for a federal grant
- Parity or network adequacy review
- Planning a CCBHC application
- Washington, D.C.HeadquartersClose to federal partners
- San Juan, Puerto RicoCaribbean officeSpanish-language support and U.S. territory Medicaid expertise
Contracting Information
- Business status
- Small Disadvantaged Business (SDB)
- UEI
- XLY2W636DSZ7
- CAGE
- 0A9Q7
- NAICS
- 541611 Administrative Management and General Management Consulting (primary) · 541618 Other Management Consulting · 541690 Other Scientific and Technical Consulting · 541720 Research and Development in the Social Sciences and Humanities
- Registration
- Active in SAM.gov
- Teaming
- Prime and subcontract roles
- References
- Past performance references available on request
- Capability statement
- Available on request