highest power of prime $p$ dividing $\binom{m+n}{n}$
Solution 1:
Rubbing the remaining brain cells together real hard did bring to the surface the following argument that generalizes Kummer's Theorem to multinomial coefficients.
Let the base-$p$ expansions of non-negative integers $n_i, i=1,2,\ldots,k$ and $n=\sum_{i=1}^kn_i$ be $$ n_i=\sum_{j=0}^\infty b_{i,j}p^j,\qquad n=\sum_{j=0}^\infty a_jp^j. $$ Consider the multinomial coefficient $$ {n\choose n_1,n_2,\ldots,n_k}=\frac{n!}{n_1!n_2!\cdots n_k!}. $$
As in the case of binomial coefficients (write the multinomial coefficient as a product of binomial coefficients in the usual way) we see that the highest power, $p^e$, dividing the multinomial coefficient is determined by the formula $$ e=\frac{\sum_{i=1}^k\sum_j b_{i,j}-\sum_j a_j}{p-1}.\qquad(*) $$
Assume that we are doing the grade school addition of the sum $n_1+n_2+\cdots+n_k=n$. Let the carry at position $j$, $j=0,1,\ldots$, be $c_j$. Because we are dealing with integers, there is no initial carry, so we declare $c_{-1}=0$. The addition algorithm for the digit at position $j$ amounts to the equation $$ \sum_{i=1}^kb_{i,j}+c_{j-1}=pc_j+a_j, $$ or, equivalently, to the equation $$ \left(\sum_{i=1}^kb_{i,j}\right)-a_j=pc_j-c_{j-1} $$ that holds for all $j\ge0$.
Adding all these equations together shows that numerator in the formula $(*)$ for $e$ is $$ \begin{aligned} \sum_{i=1}^k\sum_j b_{i,j}-\sum_j a_j&=\sum_{j=0}^{j_{MAX}}(pc_j-c_{j-1})\\ &=pc_{j_{MAX}}+\sum_{j=0}^{j_{MAX}-1}(p-1)c_j-c_{-1}\\ &=(p-1)\sum_jc_j, \end{aligned} $$ because clearly at the most significant digit there will be no further carry, $c_{j_{MAX}}=0$, and because $c_{-1}=0$. Thus we can rewrite formula $(*)$ to read $$ e=\sum_j c_j. $$ In other words $e$ equals the total carry $\sum_j c_j$.
Solution 2:
If $b_{0} + c_{0} < p$, then $a_{0} = b_{0} + c_{0}$, there are no carries, and the term $$ b_{0} + c_{0} - a_{0} = 0 $$ does not contribute to your $e$.
If $b_{0} + c_{0} \ge p$, then $a_{0} = b_{0} + c_{0} - p$, and this time $b_{0} + c_{0} - a_{0}$ gives a contribution of $p$ to the numerator of $e$. Plus, there is a contribution of $1$ to $a_{1}$, so the net contribution to the numerator of $e$ is $p -1$, and that to $e$ is $1$. Repeat.
As mentioned by Jyrki Lahtonen in his comment (which appeared while I was typesetting this answer), you may have propagating carries, but this is the basic argument.