News

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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