Turning County Compliance Mandates Into Working Systems
Focus on Finance Compliance — Without the Guesswork
We help LA County SAPC (Substance Abuse Prevention and Control) providers meet the County's new financial reporting, cost-allocation, and data-security requirements for substance use disorder (SUD) treatment — and capture Cohort 3 Value-Based Incentives (VBI) funding while doing it.
Every engagement runs under a Non-Disclosure Agreement (NDA), a Business Associate Agreement (BAA), and a Qualified Service Organization Agreement (QSOA) — the legal protections this kind of data requires.
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. Three requirements now apply at once: SAPC IN 26-06 standardizes org-level financial reporting tied to your rate tier; SAPC IN 26-05 brings annual fiscal compliance reviews that audit your cost-allocation methodology directly with the County Auditor-Controller; and 42 CFR Part 2 governs how SUD treatment data itself is stored, accessed, and disclosed, with civil enforcement underway since February 2026. It's a reporting requirement, a cost-allocation requirement, and a data-confidentiality requirement, all at once — not just one more report to fill out.
The Kind of Metrics We Track
Sample Fiscal & Clinical Metrics Your Reporting Should Surface
Operating Costs as Percent of Revenue
Percent Increase in DMC Revenue
Percent of Claim Approvals in the First Billing Cycle
Cost-Per-Client
Billable Time
Client Retention Rate
What We Do
We design and implement the reporting, cost-allocation, and back-office systems your next Fiscal Compliance Review will test — replacing manual reconciliation with dashboards, catching cost-allocation and billing issues before submission instead of after, and giving your leadership team one real-time view instead of periodic manual reports. The same model scales: a validated single-site build becomes a reusable template as you expand, and a documented cost-allocation structure keeps you ready 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. The County provides up to $70,000 in Cohort 3 incentive funding available across three submissions — each phase below is scoped to deliver its submission on time.
Phase 1
Assessment & Roadmap
Through 9/30/26
Phase 2
Readiness Assessment
Through 12/15/26
Phase 3
Full Implementation
Through 3/31/27
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. Every engagement runs under a Consulting NDA, a Business Associate Agreement, and — required under 42 CFR Part 2 for any access to SUD treatment records — a Qualified Service Organization Agreement, which legally binds us to resist outside attempts to access those records except as narrowly allowed by law. Back-office access routes through VPN rather than sitting exposed on the open internet, with native role-based permissions (Power BI row-level security, Odoo user groups) instead of shared logins. Coverage includes professional liability (E&O) and cyber liability insurance meeting LA County's standard minimums.
Who We Are
Peerwise Consulting is led personally by Manuel J. Alvarez, backed by a bench of specialist contractors — in data engineering, compliance, and change management — brought in as engagements scale. Manuel's background is enterprise systems and financial controls: he led the SAP sourcing and logistics rollout at Levi Strauss, directed a $400M Vendor-Managed Inventory program at Gap, and ran client operations for a healthcare-industry SaaS implementation at Evant/Manhattan Associates for the largest pharmaceutical distributor in the US. He owned full P&L across a multi-site, multi-hundred-person portfolio, and completed 55 acquisition/conversion due-diligence engagements at H&R Block. That's 12 years of systems and software design and implementation experience, now focused entirely on SUD and behavioral-health providers.
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.
contact@peerwiseconsulting.com · 424-241-0046 · Los Angeles, CA
Schedule a Discovery Call