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 convinces caseworker to award Medicaid eligibility for current resident back to June ’21, even though former BOM missed stipulation deadline.
03/20/2023
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ALJ agrees with sb2’s argument and orders county to reopen resident’s application for Medicaid and provide additional time to provide missing verifications.
03/16/2023
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sb2 uses CMS Regulation on assistance to qualify current resident for Medicaid who was unable to fund his QIT because of incapacity.
03/13/2023
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sb2 uses CMS Regulation on assistance to qualify current resident for Medicaid who was unable to fund his QIT because of incapacity.
03/10/2023
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In a first, ALJ directs county to conditionally approve resident’s Medicaid application due to incompetency without pending guardianship petition.
03/07/2023
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sb2 intervenes and obtains conditional Medicaid eligibility back to October ’22 for current resident at client’s facility.
03/02/2023
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sb2 recovers $69k in retro Medicaid benefits, plus prospective eligibility, for client after intervening in pending appeal.
02/27/2023
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sb2 uses new legal theory in pending federal litigation to cure Medicaid coverage gap going back to the beginning of ’19.
02/24/2023
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Despite excess resources, sb2 qualifies deceased resident and recovers $45k in Medicaid benefits for provider.
02/21/2023
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sb2 appealed state’s retroactive increase in resident’s monthly patient liability, and ALJ rules in firm’s favor.
02/16/2023
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sb2 uses state’s failure to comply with CMS Regulations to qualify current resident effective December ’21.
02/13/2023
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