What Was at Stake

What Was Done

Result

Client Engagements

A selection of programs and initiatives where Ono Logic has provided project leadership, operational design, and compliance delivery.

Palliative Care Benefit Implementation

Statewide Medicaid benefit launch, provider readiness, and operational design.

Medicaid System Release IV&V

Independent review of release testing, evidence, exceptions, and readiness reporting.

Medicaid and Health System Transformation

Ensuring Access to Medicaid Services Final Rule (CMS-2442-F)

Federal mandate requiring states to improve access to home and community-based services, increase transparency, and meet new compliance standards.

Independent review of testing, evidence, exceptions, and release-readiness reporting for a Medicaid technology implementation

A state Medicaid program needed an independent assessment of whether system-release testing was complete, accurately reported, and supported by sufficient evidence. The available testing materials included multiple test phases, status reports, exceptions, vendor submissions, and supporting artifacts. Some reported results did not clearly distinguish completed testing from authorized exceptions, and certain closure claims were not fully supported by case-level evidence. Without an independent review, leadership risked relying on a testing status that appeared cleaner than the underlying record.

New federal requirements to provide Medicaid services prior to release, with major operational and coordination gaps across facilities.

Money Follows the Person (MFP) Initiative

Transitioning individuals from institutional care to community-based settings while maintaining continuity and quality of care.

Launch of a new statewide Medicaid benefit with no existing operational infrastructure.

Federal compliance requirements demanding accurate, real-time provider data for Medicaid beneficiaries.

Federal Funding and Program Expansion

American Rescue Plan Act (ARPA) HCBS Portfolio

Large-scale federal investment requiring rapid deployment, compliance tracking, and measurable outcomes.

NSA Hawaii Website and Membership Platform Migration

Unified website, membership, event, payment, and communications platform implementation for a professional nonprofit association

NSA Hawaii needed more than a refreshed website. The chapter was managing core operations across disconnected tools, creating extra work for volunteers and making membership, events, payments, communications, and reporting harder to manage consistently. Without a stronger system, the administrative burden would continue to grow quietly in the background. Every organization has one of those closets. This was the digital version.

TFA Analytics Operational Transformation

Fractional operations leadership, internal systems design, and project delivery support

TFA Analytics was scaling quickly while managing client delivery, product development, funding pressure, and internal leadership transitions. The company needed stronger operational discipline, cleaner workflows, better project visibility, and repeatable systems that could support growth without creating more dependency on executive bandwidth.

Start with a 20-minute readiness conversation