Owner and Founder Richard Rutherford is a long time resident of Wake County NC, and has experience as a Medicaid provider and, since 2008, as a senior manager in a variety of roles with North Carolina based software, billing and services vendor SembraCare, Inc. He left SembraCare in 2019 to found LTSS Consulting , Inc., created to assist North Carolina Medicaid contractors and providers. He knows providers and their challenges well, and has over the years helped many Home Care Agencies and Licensed Residential Facilities solve enrollment, regulatory and billing issues.