What The Rushmore Group does

The Rushmore Group, LLC (dba TRG) is a privately held U.S. consulting and software firm founded in 1997 and headquartered in Pierre, South Dakota, focused exclusively on human and social service organizations. It serves federal, state, and county government agencies — primarily those administering Medicaid, SNAP, TANF, and intellectual/developmental disability (IDD) services — alongside mission-driven private providers in HCBS, ICF, and similar settings. Its stated value proposition is to help these entities improve operations, demonstrate regulatory compliance, and modernize systems in complex public-assistance environments.

The firm's offering is a platform-plus-services model. The software layer consists of two proprietary platforms: the Case Review System (CRS), which lets agencies collect, track, and analyze compliance and performance data across TANF, SNAP, and Medicaid programs; and the Quality Management System (QMS), which supports performance measurement, trend analysis, and real-time oversight dashboards and is configurable for HCBS, ICF, and IDD settings. The services layer comprises Strategic Consulting (business process improvement, operational redesign, strategic planning, organizational assessments, change management), Program Integrity (eligibility and payment accuracy reviews, risk-based sampling, audit preparation, data analytics, corrective action planning, integrity reporting), and Quality Oversight implementations built around CRS and QMS. Deployments can be statewide or scoped to targeted oversight, and Rushmore maintains HIPAA-aligned internal safeguards consistent with 45 CFR Part 164.

The business model combines professional-services revenue from consulting engagements with recurring software licensing from CRS/QMS deployments. Pricing is not publicly disclosed and is set per engagement through direct contact. The go-to-market is sales-led and consultative, leaning on direct outreach to agencies, website contact forms, and referrals generated by long-standing public-sector relationships; there is no evidence of broad digital marketing, channel partners, or third-party distribution. The firm is privately held with no disclosed institutional investors, funding rounds, or parent company.

Name

The Rushmore Group

Legal name

The Rushmore Group, LLC

Website

https://rushmore-group.com

Company type

Private

Founded year

1997

Operating status

Operating

Short description

The Rushmore Group, LLC is a U.S. consulting and software firm that helps federal, state, and county agencies administer Medicaid, SNAP, TANF, and IDD programs through strategic consulting, program integrity services, and proprietary case-review and quality-management platforms.

Ownership category

akta.pro rank

Product category

Public Sector Human Services Consulting

NAICS

Human Resources Consulting Services (541612), Administration of Public Health Programs (923120)

SIC

Services-Management Consulting Services (8742), Services-Social Services (8300), Services-Prepackaged Software (7372)

akta.pro primary industry

Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)

akta.pro secondary industry

Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)

Keywords

• Public sector consulting
• Human services software
• Case review systems
• Program integrity services
• Medicaid compliance consulting

Headquarters

HQ city

Pierre

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales

Revenue model

1. Management Consulting Services: High-impact consulting services including business process improvement, strategic planning, organizational assessments, change management, and regulatory alignment for human services organizations.
2. Software Platform Licensing: Access to proprietary CRS and QMS platforms for case review and quality oversight. Platforms can be implemented statewide or used for targeted oversight, suggesting tiered or enterprise licensing.
3. Program Integrity Services: Eligibility and payment accuracy reviews, risk-based sampling, audit preparation, data analytics, corrective action planning, and integrity reporting tools for public assistance programs.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

The Rushmore Group delivers management consulting services and licenses proprietary software platforms (Case Review System and Quality Management System) that help federal, state, and county government agencies administer Medicaid, SNAP, TANF, and IDD programs. Their offerings combine strategic consulting, program integrity reviews, and purpose-built case review and quality oversight technology for human and social service entities.

Product overview

The Rushmore Group offers a platform-plus-services model combining proprietary software systems with consulting services. The core technology portfolio consists of two integrated platforms: the Case Review System (CRS) for comprehensive case reviews across TANF, SNAP, and Medicaid programs, and the Quality Management System (QMS) for performance measurement, trend analysis, and real-time oversight dashboards. These platforms are complemented by Strategic Consulting and Program Integrity services. The CRS and QMS can be implemented statewide or for targeted oversight, providing agencies with the flexibility and intelligence needed to modernize quality assurance.

Differentiator

Problem solved

Functional benefit

Products and services

• Case Review System (CRS) A purpose-built case review platform for human and social service programs that enables agencies to collect, track, and analyze compliance and performance data across TANF, SNAP, and Medicaid programs.
• Quality Management System (QMS) A quality oversight platform supporting performance measurement, trend analysis, and integrated data dashboards for real-time oversight, with customizable tools for HCBS, ICF, and other IDD settings.
• Strategic Consulting High-impact consulting services that help public and private sector organizations improve performance through business process improvement, operational redesign, strategic planning, organizational assessments, and change management.
• Program Integrity Compliance and accountability services including eligibility and payment accuracy reviews, risk-based sampling, audit preparation, data analytics, corrective action planning, and integrity reporting tools for public assistance programs.

Quantifiable outcome

• Helped hundreds of agencies modernize systems and achieve measurable results

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Scale indicators4 records

Recent moves4 records

Expansion highlights3 records

Direct peers

• Public Consulting Group: Private consulting firm specializing in health, human services, and education programs for state and federal agencies. Directly comparable in size, mission, and focus on Medicaid, SNAP, TANF, and IDD program oversight.
• BerryDunn: National accounting and consulting firm with a strong public-sector practice serving state health and human services agencies. Comparable in serving state-level human services clients with compliance and operational consulting.
• Maximus: Leading provider of operational services including eligibility, enrollment, and program integrity for Medicaid and other human services programs. Directly competes in the same service lines but at significantly larger scale.
• NTT Data (formerly Cognosante): Healthcare IT and consulting firm serving Medicaid and other government health programs with technology and consulting services. Highly comparable in Medicaid-focused program integrity and systems modernization offerings.
• Health Management Associates: Healthcare consulting firm focused on Medicaid, behavioral health, and human services policy and operations. Directly comparable in serving state agencies with policy expertise and program consulting.
• Mathematica: Public policy research and consulting firm with deep expertise in health and human services program evaluation and policy. Comparable in serving federal and state agencies with rigorous analytical and policy consulting.
• Abt Associates: Public policy research and consulting firm with substantial health and human services practice. Comparable in serving federal and state agencies with program evaluation, integrity, and operational consulting services.

Broad incumbents

• ICF International: Large public-sector consulting firm with significant health and human services practice. Overlaps in program integrity and state agency consulting but operates at much larger scale across multiple sectors.
• Booz Allen Hamilton: Major federal consulting firm with public-sector health and human services capabilities. Overlaps in serving federal and state agencies with program integrity and modernization services, but as part of a much broader portfolio.
• CGI Federal: Government IT services subsidiary of CGI Group serving federal and state agencies with health and human services technology solutions. Comparable in the systems modernization space but operates at significantly larger scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/rushmore-group

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Rushmore Group