About Us

The MBS team is a group of dedicated professionals representing a diverse background in Targeted Case Management (TCM) and Home and Community Based Services (HCBS) waiver billing and accounting.

Our team has experience in programs and services for individuals with developmental disabilities and in human service organizations, private insurance, accounting, Medicaid management, case note compliance, business management, and etc. We understand your unique needs!

We do billing exceptionally well because of our experience, expertise, and dedication to county boards, providers and the individuals you serve. We have ongoing training, self-development and job ownership, and our employees quickly learn to provide the quality, timeliness, accuracy, efficiency and responsiveness for which you deserve and MBS is known.

Our team has close connections with county boards, providers, DODD, ODM and software vendors. We are trained and experienced in the use of many software programs such as Advisor, Brittco, Gatekeeper, Infallible, etc. We stay current on laws, rules, and regulations. We attend state and association conferences, seminars, and trainings. We share information with our county boards and providers, join our newsletter below.

We have a revenue driven approach and desire to help you succeed! Our skills and experience include but are not limited to:

  • Billing, PAWS, CPT, MRC, audits, and utilization review
  • Waiver services and documentation
  • TCM services and case note compliance
  • Training and mentoring agency staff
  • Cost report preparation and audits
  • Business management and Medicaid services management
  • Serving on state committees
  • Presenting at various trainings, seminars and conferences
  • Evaluating organizational procedures and processes for efficiency

Sandy Landers, MPA
Founder and CEO

I have been in the Ohio DD industry for over 20 years in business operations, Medicaid management, consulting, training and billing for county boards and Home and Community Based Services (HCBS) waiver providers. I started MBS in 2010 as result of consulting clients asking me for billing services. We grow each year as county boards and providers discover our services. MBS is truly blessed with our dedicated and hard working team members who love serving providers and county boards, helping both providers and MBS succeed.


Shari Weber,
Director of Provider Services

I have been with MBS since nearly the beginning. My background in accounting and insurance is a great fit for providing billing services and supports for HCBS waiver providers. My passion is problem solving, I love a good challenge! I am people person and forge exceptional professional relationships with our clients. I am so revenue driven, I want to get our clients every penny they deserve.


Our dedicated team of billing specialists is well-versed in TCM and HCBS waiver programs and services and has a diverse background bringing exceptional skills and experience to our services and supports:

County Board Services:

Jen Mahannah
Holly McAlister
Ashton Benton
Nicole Taleff

Provider Services:

Dena Ward
Jan Sutter
Jennifer Roberts
Tammy Crowthers
Suzanne Francisco
Michelle Evans