News

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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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Board agrees to review ALJ’s dismissal of appeal, challenging denial of resident’s Medicaid application, without a hearing or providing any appeal rights.

04/15/2025

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After court enters Order mandating that resident forward his past and future monthly income to facility, resident’s attorney turns over $50k.

04/07/2025

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sb2 uses CMS Regs and ADA to open ALJ’s dismissal of client’s appeal of denial of resident’s application for Medicaid.

03/31/2025

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sb2 takes on very messy Medicaid eligibility appeal secures full coverage effective October ’23.

03/25/2025

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sb2 and client work together to secure Medicaid eligibility for current resident effective March ’24.

03/18/2025

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For longtime client, sb2 secures $20k from 3rd party who botched former resident’s Medicaid application.

03/13/2025

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After two years of litigation, state agrees to return recouped funds to client who had purchased several skilled nursing facilities that allegedly had misbilled claims nearly 10 years ago.

03/10/2025

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After sb2 secures an UHW based on community spouse’s right of refusal, resident is retroactively qualified for Medicaid beginning September ’23.

03/03/2025

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sb2’s appellate practice continues to thrive with another win where the firm relied exclusively on constitutional arguments.

02/25/2025

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Department approves sb2’s petition for Undue Hardship Waiver based on community spouse’s refusal to spend down excess resources.

02/18/2025

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sb2 wins another state appellate court matter when court agrees that notice denying resident’s Medicaid application was defective and didn’t comply with CMS Regs.

02/13/2025

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