what we've done lately.
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 state and federal litigation, challenging state’s Admit Pack requirement, to secure Medicaid benefits dating back to ’20.
06/10/2026
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sb2 uses probate court and civil litigation to exempt excess resources and force POA to qualify current resident for Medicaid.
06/02/2026
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For large group of behavioral healthcare providers, sb2 challenges pending audits for alleged overpayments and secures “stoppage” from state agency.
05/27/2026
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sb2 agrees to appeal, to state’s supreme court, trial court’s finding that ALJ could rule on facility’s appeal without first holding a hearing.
05/19/2026
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For large provider, sb2 qualifies current resident for Medicaid and secures Undue Hardship Waiver unwinding $67k period of ineligibility.
05/11/2026
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During hearing before ALJ, county agrees to reopen current resident’s application because resident’s DAR had in fact requested assistance and county failed to provide it.
05/07/2026
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ALJ agrees with sb2 that should not have denied current resident’s August ’25 application for Medicaid, ordering it to be reopened.
04/29/2026
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In an historically difficult state to force compliance with CMS Regs, ALJ agrees that resident’s excess resources were unavailable per CMS due to his disability.
04/21/2026
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sb2 eliminates 11-months of 12-month period of Medicaid ineligibility for current resident using CMS Regulations.
04/12/2026
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sb2 uses state agency provision to stop MCO from actively recouping tens of millions of dollars from numerous vent therapy providers.
03/31/2026
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sb2 uses little known provision to stay MCO’s attempt to recoup millions of dollars from provider while state court litigation is pending.
03/24/2026
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