News

what we've done lately.

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

----

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

----

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

----

In response to sb2’s civil action, state cures resident’s Medicaid coverage gap based on eligibility requirement that was never approved by CMS.

09/28/2023

----

Based on sb2’s administrative complaint, CMS agrees to investigate state’s refusal to exclude unavailable income in current residents’ monthly patient pay obligation.

09/26/2023

----

For assisted living provider, sb2 obtains payment of $50k and negotiates security interest to guarantee secure future payments.

09/22/2023

----

sb2 uses CMS regulations and the Rehabilitation Act to secure conditional Medicaid benefits for resident who lacks capacity and an agent to qualify her for Medicaid.

09/20/2023

----

sb2 intervenes and secures conditional Medicaid approval for current resident after county denied client’s request.

09/14/2023

----

Using CMS and favorable state regulations, sb2 qualifies current resident for Medicaid back to April ’22.

09/12/2023

----

After sb2 files action requiring resident to qualify for Medicaid, state court judge calls resident, and resident immediately funds QIT and spends down excess resources.

09/06/2023

----

For rapidly expanding provider with over 50 homes, sb2 recovers 29 months of retro Medicaid benefits for two residents.

08/31/2023

----

sb2 uses Social Security Complaint Letter to clear backlog of Rep Payee requests submitted by client.

08/29/2023

----

Intermediate appellate court agrees with sb2 and denies state’s attempt to dismiss client’s appeal after resident passed away.

08/24/2023

----

sb2 secures permanent injunction requiring current resident to liquidate $1 mm in real estate to pay client and remain qualified for Medicaid.

08/22/2023

----