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After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.

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sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.

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sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.

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sb2 uses federal regulations to qualify current resident for Medicaid back to August ’23 without establishing QIT or producing community spouse’s verification.

06/20/2024

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sb2 secures UHW based on the transfer of resident’s home for LFMV, securing $170k in retroactive Medicaid payments plus prospective benefits for client.

06/18/2024

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After appealing denial of Medicaid application because of excess resources, sb2 proves that resources were unavailable and secures full retroactivity.

06/13/2024

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sb2 appeals denial of client’s request for conditional Medicaid benefits and secures Medicaid retroactivity back to client’s date of admission.

06/11/2024

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After client’s appeal of resident’s application for Medicaid was denied, Board of Review agrees with sb2 and grants full Medicaid eligibility.

06/06/2024

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Using CMS Regs, sb2 secures 19 months of Medicaid eligibility for resident at one of long-time client’s PA facilities.

06/04/2024

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Client realizes multi-million-dollar benefit after engaging sb2 to resolve outstanding MCO issues.

05/31/2024

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Prior to hearing before ALJ, MCO agrees that discontinuance letter sent to resident was defective, resulting in $70k payment to client.

05/28/2024

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After appealing denial of current resident’s Medicaid appeal, sb2 secures Medicaid eligibility effective July ’23.

05/23/2024

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Immediately following ALJ’s Order opening current resident’s denied application for Medicaid, county grants application with full Medicaid retroactivity.

05/21/2024

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After caseworker refused to process client’s conditional Medicaid eligibility request for current resident, sb2 filed appeal, and caseworker granted resident’s application.

05/16/2024

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