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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After sb2 appeals denial of resident’s application for Medicaid based on defective notice, case worker grants benefits back to date of resident’s admission.
07/08/2025
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sb2 secures conditional Medicaid eligibility for current resident even though significant assets were transferred to third parties for less than fair consideration during the lookback period.
07/02/2025
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Using CMS Regulations, ALJ agrees with sb2 and orders county to reopen resident’s Medicaid application with a retroactive date of September ’24.
06/25/2025
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sb2 amends resident’s QIT to comply with state regulations, and county grants Medicaid benefits without a coverage gap.
06/17/2025
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Probate court agrees with sb2 and orders resident’s current guardian of the estate removed and to prepare an accounting of all financial transactions.
06/10/2025
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sb2 uses litigation and CMS Regulations to force MCO to pay claims for current vent resident dating back to January ’24 through the present.
06/03/2025
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sb2 uses state and federal regulations to qualify three residents whose applications for Medicaid pended longer than CMS Regulations allow.
05/30/2025
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For FL provider sb2 uses CMS regulations and administrative complaints to clear back log of long-pending Medicaid applications.
05/21/2025
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Longtime client and sb2 team up to ensure that resident’s guardian qualifies him for Medicaid to cover stay at skilled nursing facility.
05/13/2025
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ALJ rules in sb2’s favor and orders county to award Medicaid eligibility to current resident effective August ’24.
05/06/2025
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sb2 uses federal spousal resource allowance statute and assignment to persuade ALJ to grant appeal and remand to caseworker for compliance.
04/29/2025
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