News

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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In federal court, sb2 challenges constitutionality of state regulation and qualifies resident back to November ’14.

November 23, 2021

sb2 qualifies current resident back to ’16 after federal court agrees that IL’s TAN requirement must in turn afford due process protections under the Constitution.

November 11, 2021

In response to a sb2’s administrative complaint, CMS commences investigation into how state calculates resident patient pay liability when there are federal garnishments, etc.

November 09, 2021

sb2 wins another level of care appeal when ALJ agrees that MCO should not have cut resident’s Medicaid eligibility.

November 04, 2021

sb2 wins another LOC dispute with MCO, recovering $34k and securing current resident’s Medicaid eligibility.

October 26, 2021

ALJ agrees with sb2 that MCO should not have discontinued resident’s Medicaid benefits because her LOC had not in fact improved.

October 19, 2021

sb2 uses state and federal regulations to zero out current resident’s monthly Patient Pay Liability mandated as a condition of Medicaid eligibility.

October 12, 2021

IN Board denies AG’s appeal to overturn sb2’s win on unavailability of excess resources based on CMS Regulations.

October 06, 2021

sb2 secures another state court appellate win challenging the constitutionality of actions taken by state officials applying state and federal Medicaid regulations.

October 04, 2021

After hearing before ALJ, AG agrees with sb2’s constitutional arguments and approves current resident’s Medicaid application back to June ’19.

September 30, 2021

In IL, sb2 files inaction appeal requesting approval of OME coverage gap, and caseworker instead adjusts Medicaid eligibility effective date to cure the gap.

September 27, 2021

After commencing dispute resolution and preparing to file litigation, MCO agrees to pay nearly $400k to provider and stop including certain prescriptions in global rate.

September 22, 2021

Illinois hearing officer opens up Medicaid application for skilled nursing benefits filed in ’16 after finding that caseworker failed to give proper notice of Denial.

September 20, 2021

sb2 and regional provider team up to stop state from retroactively recouping Medicaid benefits using regulations that were never approved by CMS and passed through the legislative process.

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sb2 convinces ALJ that failure to assist incapacitated resident with securing needed verification to determine eligibility constitutes a violation of her federal rights.

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After nearly 4 years of litigation, IL finally acknowledges in SPA submitted to CMS that skilled nursing residents have the right to OME/Income Deviate coverage gaps.

August 25, 2021

sb2 uses Undue Hardship Waiver to cure $100k period of Medicaid ineligibility imposed for transfer of resources for less than FMV.

August 23, 2021

sb2 qualifies current resident for Medicaid (effective Jan '01) after winning $50k Undue Hardship Waiver.

August 17, 2021

sb2 wins another state appellate court case when attorney general agrees that administrative law judge’s decision was incorrect.

August 12, 2021

For NJ client, sb2 works with OPG to secure Medicaid eligibility for current resident back to May ’19.

August 11, 2021

Using CMS Regulations, sb2 intervenes and qualifies current resident, who had a $170k outstanding balance, for Medicaid benefits.

August 04, 2021

sb2 challenges skilled nursing care resident’s LOC determination and wins, resulting in nearly 18 months of retro-Medicaid benefits.

July 29, 2021

ALJ agrees with sb2 inc. that resident cannot be denied Medicaid eligibility because another state refuses to “turn off” his Medicaid benefits there.

July 27, 2021

One strategy call under consulting agreement nets client 6 months of retro Medicaid benefits and prospective eligibility for current resident.

July 22, 2021

For facility in FL, sb2 uses propriety litigation strategy to immediately recover $100k in delayed payments from MCO.

July 20, 2021

sb2 wins another state appellate court case when attorney general agrees that administrative law judge’s decision was incorrect.

July 14, 2021

sb2 wins Medicare appeal challenging cut letter for alleged failure to meet level of care/medical necessity.

July 12, 2021

For new client with approximately 50 facilities, sb2 uses federal regulations to qualify current resident for Medicaid back to November ’20.

July 06, 2021

Secretary denies state’s motion to dismiss sb2’s exceptions to hearing officer’s refusal to pay Medicaid claims for approved Medicaid applications, setting up important ruling for providers.

July 02, 2021

sb2 uses CMS Regulations to qualify current resident back to November ’18.

June 30, 2021

sb2 and large provider force MCO to remit payment shortage for scores of residents covered under single case agreements.

June 28, 2021

ALJ agrees with sb2’s constitutional arguments, netting client $57k in Medicaid revenue.

June 23, 2021

For NJ provider, sb2 works with OPG to qualify resident for Medicaid back to October ’19.

June 17, 2021

Another appellate court sides with sb2 and overrules administrative law judge’s dismissal of client’s appeal, leading to $100k in Medicaid benefits for client.

June 15, 2021

ALJ agrees with sb2 that because of guardian’s inability to access disqualifying resources without a court order, caseworker should have granted resident’s Medicaid application back to May ’20.

June 09, 2021

MCO offers $195k to settle claims that it wrongfully included certain pharmacy charges in daily rate.

June 07, 2021

In tough state, appeal board agrees with sb2 that excess resources valued at $600k were not “available” resources as defined by CMS and overrules ALJ.

June 03, 2021

Hearing Officer agrees with sb2 that caseworker should have granted resident’s Undue Hardship Waiver with Medicaid benefits back to September ’20.

June 01, 2021

Days after filing appeal for failing to grant client’s request for conditional Medicaid benefits for current resident, caseworker approves resident’s application with benefits back to September ’20.

May 26, 2021

Appeal Board agrees with sb2 that state regulation allows providers (in certain instances) to file Medicaid appeals without a DAR.

May 24, 2021

sb2 pushes state to pay out on several notices of Medicaid eligibility, one for $108k alone, that have languished in a CMS unapproved department.

May 21, 2021

sb2 uses CMS regulations to qualify current resident for Medicaid and recover $125k in retro benefits.

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After stepping in and qualifying current resident, whose Medicaid application had pended for over 1 year, sb2 also obtains Undue Hardship Waiver for restricted period.

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sb2 wins another state appellate court case when AG agrees that notice denying resident’s application for Medicaid was defective and authorizes approval of benefits back to ’18.

May 10, 2021

On remand from appellate court win, ALJ agrees with sb2 that assets putting resident over resource limit were unavailable and ordered county to grant Medicaid benefits.

April 30, 2021

sb2 files Undue Hardship Waiver challenging penalty/restricted period for alleged transfers of assets for less than FMV and wins, securing Medicaid eligibility for current resident.

April 27, 2021

IL’s largest provider retains sb2 to recover payment for backlogged MCO claims.

April 23, 2021

sb2 relies on federal regulations to unwind significant penalty period and spousal refusal to qualify current resident back to June ’20.

April 20, 2021

Arbitrator agrees with sb2 and denies MCO’s motion to dismiss 65 claims based on lack of documentation that MCO should have kept.

April 16, 2021

Even though current resident still hasn’t satisfied the resource limit for Medicaid eligibility, sb2 qualifies her back to the date admission, April ’20.

April 14, 2021

sb2 uses Undue Hardship Waiver to unwind $654k penalty/restricted period, obtaining full Medicaid coverage for current resident.

April 12, 2021

After winning at the state court of appeals, sb2 obtains Medicaid coverage back to January ’19.

April 08, 2021

sb2 secures another state appellate court win when AG settles pending appeal & court signs order opening Denial.

April 05, 2021

sb2 qualifies current resident for Medicaid back to September ’17 after showing OIG that transfer of home wasn’t for less than fair consideration.

March 31, 2021

Client’s diligence updating their Medicare/Medicaid polices & practices pays off with $86k recovery.

March 29, 2021

Board of Review agrees with sb2 that county cannot ignore resident’s incapacity when deciding if certain assets were available to her.

March 26, 2021

Relying again on CMS Regulations, sb2 qualifies resident for Medicaid back to September ‘19

March 24, 2021

Less than two months into a new project, sb2 recovers 16 months of retro Medicaid benefits and qualifies two current residents.

March 22, 2021

State appellate court agrees with sb2 that because Medicaid denial was defective, appeal period never began to run, ordering hearing on the merits.

March 19, 2021

Large provider credits biweekly consulting calls with sb2, discussing complex Medicaid eligibility issues & implementing best practices to fix them, for significant improvement.

March 17, 2021

Trial court agrees with sb2 that resident’s attorney at law cannot evade liability for conversion of resident’s funds by invoking POA defense.

March 15, 2021

For provider with over 100 facilities, sb2 unwinds $83k penalty/restricted period for current resident.

March 12, 2021

sb2 advances creative litigation strategy when ALJ agrees that the county’s delay in processing Medicaid applicant prejudiced the resident, ordering her application to be reopened.

March 10, 2021

ALJ agrees with sb2’s unavailability arguments and orders county to determine resident’s Medicaid eligibility ignoring missing verifications.

March 08, 2021

sb2 uses constitutional arguments in appeal to secure Medicaid eligibility for current resident back to July ’20.

March 05, 2021

ALJ agrees with sb2 that county had obligation to comply with statutory mandates and failure to do so required that denial of application be overturned.

March 03, 2021

After winning several appeals, sb2 recovers 22 months of Medicaid for long time client.

March 01, 2021

ALJ agrees with sb2 and orders county to reprocess current resident’s application based on additional verifications submitted after the Denial.

February 25, 2021

sb2 wins another appellate court case, securing Medicaid benefits from September ’17 through December ’20.

February 24, 2021

For KY provider, sb2 unwinds $134k penalty/restricted period for alleged transfers of assets for no consideration and qualifies current resident for Medicaid.

February 22, 2021

Arbitrator agrees with sb2 and denies MCO’s motion to dismiss 65 claims based on lack of documentation that MCO should have kept.

February 18, 2021

State court judge agrees with sb2 and grants injunction mandating that competent resident forward his monthly income to facility to maintain his Medicaid eligibility.

February 16, 2021

State settles sb2’s administrative appeal denying provider’s UHW by unwinding the entire penalty/restricted period.

February 12, 2021

In response to the pandemic, providers with over 60 locations in NJ, IL, & FL retain sb2 for Medicaid/Medicare audit, training & education services.

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sb2 opens Denial well after the appeal period had expired and obtains Medicaid eligibility effective June ’19.

February 10, 2021

sb2 secures rare Florida appellate court win when judge agrees with the firm’s constitutional arguments and orders DCF compliance with Due Process Clause.

February 08, 2021

After commencing arbitrations against two MCOs contesting $2.8 mm in recoupments, sb2 recovers (to date) $1.5 mm in claims dating back to ’15.

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Board of Review reverses ALJ and grants sb2’s Undue Hardship Waiver for incompetent resident’s alleged transfer of assets for less that fair market value.

February 04, 2021

For large provider with facilities in FL, sb2 unwinds 8 month penalty period using UWH.

February 02, 2021

Before giving the okay to write off $1.7mm, provider instead hires sb2 to oversee Medicaid Project and recovers $900k (and counting) in 10 months.

January 28, 2021

Board of Review agrees with sb2 that ALJ incorrectly conflated countable resources with available resources and orders county to grant resident’s Medicaid application.

January 26, 2021

South Dakota—ALJ agrees with sb2 that county mistakenly found that Medicaid applicant’s excess resources were available to him and orders that application be approved.

January 22, 2021

sb2 wins two more appellate court cases, both asserting constitutional violations, and qualifies each resident for Medicaid without any coverage gaps.

January 20, 2021

Trial court agrees with sb2 and enters injunction mandating that competent resident turn over his monthly income to maintain his Medicaid eligibility.

January 18, 2021

sb2 commences dispute resolution process objecting to incorrect rates paid by MCO and recovers $860k for acute care provider.

January 14, 2021

After involving CMS, sb2 continues to open old Medicaid denials & obtain retroactive payment, arguing defective notice.

January 12, 2021

In IN, sb2 relies little known CMS regulation to qualify current resident for Medicaid effective September ’19.

January 07, 2021

sb2 continues to expand how states deem the “actual” value of real property with important win in OH.

January 04, 2021

sb2 secures Medicaid eligibility back to ’15 after administrative law judge agrees with constitutional due process arguments.

December 30, 2020

OH Board of Review overturns ALJ, agreeing with sb2 that countable resources cannot cause a denial of a resident’s application for Medicaid.

December 28, 2020

After qualifying deceased resident for Medicaid, sb2 secures $38k lump sum cash settlement from resident’s agent for misappropriation.

December 23, 2020

sb2 continues to expand application of CMS’s unavailability of assets/verifications reg with win in NC.

December 21, 2020

For longtime client with facilities in PA, sb2 qualifies deceased resident for Medicaid back to January ’20.

December 16, 2020

For NY provider sb2 uses CMS regulations to qualify resident whose application had been pending since before the pandemic.

December 14, 2020

In difficult Midwest state to secure Medicaid eligibility, sb2 intervenes and qualifies current resident back to February ’20 for one of nation’s largest providers.

December 10, 2020

sb2 overturns dismissal of client’s appeal for failing to attend hearing, saving application that has been pending for 8 months.

December 08, 2020

sb2 relies on the federal preemption doctrine to qualify current resident for Medicaid back to June ’19.

December 04, 2020

After 4 years of litigation, which included 3 intermediate appellate court wins, sb2 qualifies resident for Medicaid for one of the nation’s largest providers.

December 02, 2020

In PA, sb2 opens another Denial after the appeal deadline based on Due Process violations and qualifies resident back to December ’19.

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OH Judge agrees with sb2’s arguments grounded in Due Process violations and federal preemption to qualify deceased resident back to June ’19.

November 24, 2020

sb2 persuades ALJ to grant UHW and order county to unwind significant restricted/penalty period.

November 20, 2020

ALJ agrees with sb2 and orders MCO to grant retroactive Medicaid eligibility back to November ’19.

November 18, 2020

NY intermediate appellate court agrees with sb2’s CMS preemption arguments and overrules administrative law judge.

November 16, 2020

Provider cites sb2’s training & consulting practice for two recent Medicaid eligibility approvals.

November 12, 2020

Relying on CMS Regulations, sb2 qualifies another resident for Medicaid without having to produce all requisite verification.

November 09, 2020

sb2 successfully unwinds penalty/restricted Medicaid eligibility period that had pended since ’18

November 05, 2020

sb2 immediately qualifies resident for Medicaid who was without a payor source since ’17.

October 29, 2020

sb2 convinces ALJ to open husband & wife’s denied Medicaid applications based on unavailability of missing verification.

October 19, 2020

In another first, sb2 convinces NC administrative law judge that PL (resident share) must be reduced to account for alimony payments.

October 12, 2020

After extensive litigation, which included an important appellate court win, sb2 qualifies resident for Medicaid back to June ’18.

October 05, 2020

sb2 uses recent appellate court win on unavailability of resources to qualify resident back to September ’19.

September 30, 2020

For provider with multiple facilities, sb2 reduces state Medicaid recoupment amount by $1.75 million.

September 23, 2020

Acute care provider agrees to cover resident’s stay at client’s facility based on failure to obtain MCO authorization before referring.

September 17, 2020

Agreeing with sb2, arbitrator denies national MCO’s motion to dismiss complaint seeking $2 mm for defective claim processing system.

September 14, 2020

sb2 uses CMS regulation to qualify resident back to January ’18.

September 08, 2020

sb2 uses CMS Regulations and federal court precedent to qualify current resident back to March ’18.

August 25, 2020

sb2 uses obscure state regulation to win two administrative law appeals for incapacitated residents.

August 17, 2020

MCO agrees with sb2 to waive all missed claim dispute + appeal deadlines dating back to execution of contract with client.

August 13, 2020

sb2 qualifies resident for Medicaid back to October ’19 with help from CMS Regs.

August 10, 2020

sb2 relies again on constitutional due process arguments to qualify resident for Medicaid back to February ’19.

August 07, 2020

Another administrative law judge agrees that not all countable resources are available resources and orders county to open Medicaid denial.

August 05, 2020

After appealing denial of resident’s Medicaid application, county agrees that three parcels of real property were not available resources.

August 03, 2020

Using constitutional arguments, sb2 opens Medicaid denial despite untimely appeal and obtains eligibility back to August ’18.

July 30, 2020

sb2 qualifies current resident, with full Medicaid retroactivity, using CMS Regs on spousal right of refusal & excess resources.

July 28, 2020

Using CMS Regulations, sb2 qualifies another resident with excess resources who also transferred $79k during the Lookback Period.

July 24, 2020

Administrative law judge agrees with sb2’s regulatory & constitutional arguments and orders county to open resident’s Medicaid application filed in ’18.

July 20, 2020

sb2 uses federal constitutional arguments to save Medicaid appeal filed by client 487 days after appeal deadline.

July 17, 2020

sb2 qualifies resident for Medicaid after ALJ agrees that LOC denial by county was in error.

July 15, 2020

sb2 intervenes and quickly qualifies resident with $100k balance for Medicaid.

July 13, 2020

sb2 uses state & federal administrative complaints to get MCO to modify practices and reprocess & pay claims that were years old—recovery to date is over $100k.

July 08, 2020

sb2 adds new clients in California & Vermont for Medicare/Medicaid eligibility & reimbursement consulting and education.

July 06, 2020

For single facility provider, sb2 secures Medicaid eligibility for current resident back to early ’17.

July 02, 2020

In just 7 words intermediate appellate court declines Department's attempt to overturn sb2 win.

June 30, 2020

For provider with over 100 facilities, sb2 unwinds 14 month penalty period for alleged transfer of assets for less than fair market value.

June 25, 2020

Administrative law judge agrees with sb2 that the value of assets cannot be determined without first factoring in all debts.

June 22, 2020

sb2 uses tested litigation strategies to requalify current resident back to November ’19.

June 18, 2020

Another administrative law judge agrees that unavailable monthly income like alimony cannot be included in resident’s patient liability.

June 16, 2020

sb2 obtains full Medicaid retroactivity for 8 residents who weren’t able to timely submit levels of care.

June 12, 2020

In a significant decision, appellate court agrees with sb2 that a provider is entitled to notice & appeal rights when a state denies a request to reopen a denial.

June 10, 2020

Board of Appeals agrees with sb2 that resident is entitled to Medicaid eligibility because missing verification was unavailable.

June 08, 2020

County assistance office requalifies resident for Medicaid back to August ’18 after sb2 sought to establish that REDE was defective.

June 05, 2020

sb2 appeals defective Medicaid denial months after the appeal period had run, and judge agrees with sb2 and opens it effective August ’18.

June 03, 2020

sb2 uses CMS admin complaint to reduce Medicaid pending backlog in southern state.

June 01, 2020

sb2 uses CMS Reg to obtain Medicaid benefits back to October ‘18 after appeal of denial pended for over a year.

May 28, 2020

sb2 uses Inaction Appeals to qualify current residents in NY and IN for Medicaid.

May 26, 2020

sb2 intervenes on behalf of provider and assists resident’s attorney with qualifying him for Medicaid effective October ’18.

May 20, 2020

Intermediate appellate court overrules trial court and agrees with sb2 that lawyers retained by a resident’s authorized representative (providers) have standing to file & oversee appeals.

May 18, 2020

sb2 uses combination of Inaction Appeal & recently approved CMS policies to qualify current for Medicaid effective July ’19.

May 13, 2020

After opening a defective Medicaid denial using constitutional arguments, sb2 removes $28k restricted period and qualifies current resident back to September ’19.

May 11, 2020

Hours after hearing before administrative law judge, caseworker calls & agrees to approve resident’s application for Medicaid with full retroactivity.

May 08, 2020

Before administrative law judge could issue her written decision, OIG tacitly agrees with sb2’s unavailability of resources argument & directs county to grant full Medicaid eligibility.

May 06, 2020

After years of litigation, sb2 qualifies resident for Medicaid retroactive to November ’13.

May 04, 2020

Overruling the trial court & AG’s arguments, Appellate court resoundingly agrees with sb2 that deceased residents’ applications & appeals for Medicaid survive their death

May 01, 2020

sb2 uses combination of state & federal regulations to available exempt resources and qualify resident for Medicaid back to July ’19.

April 29, 2020

Using CMS regulations, sb2 qualifies current resident for Medicaid back to November ’17 after winning numerous hearing & appeals.

April 27, 2020

For provider with homes in Ohio, sb2 intervenes and quickly qualifies current resident with $150k outstanding balance for Medicaid.

April 23, 2020

For provider with nearly 100 facilities, sb2 wins Undue Hardship Waiver appeal unwinding significant penalty period for current resident.

April 20, 2020

Another judge agrees with sb2 that the inability to establish/fund a QIT because of disability stops a state from restricting Medicaid retroactivity.

April 16, 2020

sb2 intervenes for NY provider and obtains NAMI (OME) for 4 years of prior insurance deductions from Medicaid qualified resident’s monthly income.

April 14, 2020

Client of 17 years reports revenue recovery rate of 99.8% using sb2’s Medicaid eligibility & reimbursement policy and practices.

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Client cites sb2’s guidance & education behind $30k windfall.

April 06, 2020

sb2 uses CMS regulations & constitutional arguments to obtain Medicaid eligibility for current resident back to May ’19

April 02, 2020

Administrative Law Judge agrees with sb2’s reliance on federal regulations and orders county to qualify resident back to February ‘18.

March 30, 2020

After taking over Medicaid application that had pended for nearly two years, sb2 quickly obtains Medicaid eligibility for resident.

March 25, 2020

sb2 uses new litigation strategy to force two MCOs to immediately pay claims in excess of $100k pending for over 1 year.

March 23, 2020

After taking over undue hardship waiver application for transfer of assets for less than FMV, sb2 files appeal with appellate court and secures settlement with AG, obtaining full retroactive Medicaid eligibility to 2012.

March 17, 2020

sb2 uses administrative appeal and federal regulations to open Resident’s Medicaid application back to January ’19.

March 13, 2020

Board of Review agreed with sb2 that ALJ committed reversible error when he failed to consider resident’s inability to set up a QIT because of his disability.

March 11, 2020

sb2 secures another appellate court win when Judge agrees that administrative law judge erroneously found that resident wasn’t disabled for Medicaid eligibility purposes.

March 09, 2020

In a matter of hours, sb2 recovers 24 months of retroactive Medicaid benefits and prospective eligibility for two residents on behalf of provider with over 100 facilities.

March 06, 2020

Board of Appeals agrees with sb2’s constitutional arguments and overturns ALJ, opening Medicaid application filed in ’17.

March 05, 2020

sb2 takes over appeal at the last minute and qualifies resident for Medicaid, erasing $140k outstanding balance.

March 03, 2020

sb2 uses CMS regulations to qualify deceased resident back to January ’10.

February 28, 2020

sb2 uses federal administrative complaint to force state & MCOs to make policy changes related to Medicaid eligibility and retroactivity.

February 26, 2020

Using CMS regulations, sb2 qualifies another resident for NY provider.

February 24, 2020

sb2 wins another Undue Hardship Waiver unwinding substantial ineligibility period for alleged transfer of assets for less than FMV.

February 20, 2020

sb2 successfully resolves two more appellate court matters based on constitutional arguments when the attorney general agrees to remand both appeals & correct procedures below.

February 18, 2020

sb2 successfully resolves two Medicaid recoupment cases for national provider.

February 14, 2020

sb2 wins another appellate court matter after attorney general agrees that ALJ’s dismissal of facility’s appeal was in error.

February 12, 2020

For large provider/lender, sb2 wins another Undue Hardship Waiver based on alleged transfer of assets for less than FMV.

February 10, 2020

After sb2 commences MCO grievance process for current resident at client’s respiratory facility, pending claims that had been disputed for over 6+ months were paid by MCO.

February 05, 2020

sb2 relies on CMS regulation to show unavailability of resources and qualifies resident back to Feb '19.

January 30, 2020

Appellate court rejects AG's argument that appeal is moot based on denial of subsequent Medicaid application filed on behalf of deceased resident.

January 27, 2020

sb2 qualifies resident for Medicaid and preserves Medicaid retroactivity date by showing that excess resources were unavailable (not countable.)

January 23, 2020

After sb2 files an administrative appeal arguing that resident’s monthly patient liability (PL) shouldn’t be counted because it was unavailable due to theft, case worker zeros out PL.

January 21, 2020

Appellate court agrees with sb2 that client’s appeal shouldn’t be dismissed for lack authority, rejecting AG’s motion seeking an end to the case.

January 16, 2020

For large provider, sb2 wins another appeal where county challenged applicant’s state residency.

January 13, 2020

sb2 relies on CMS regulations & creativity to qualify current resident for Medicaid back to October ’18.

January 10, 2020

sb2 uses CMS regulations to unwind restricted/penalty period & prove residency in new state to qualify resident for Medicaid in IL.

January 08, 2020

sb2 uses constitutional arguments to qualify resident back to ’16 even though appeal was filed after resident’s death.

January 06, 2020

sb2 qualifies three residents in a week for NY provider, generating substantial revenue before end of year.

January 03, 2020

Early ’20, sb2’s managing partner to split time between offices in Los Angeles and Harrisburg.

December 31, 2019

Another appellate court agrees with sb2’s constitutional arguments and gives the firm its second appellate win in a week.

December 26, 2019

After lengthy litigation, Board of Appeals agrees with sb2 and orders county to grant resident’s Medicaid application back to December ’18 and “zero out” her monthly patient pay liability until ’21.

December 23, 2019

Board of Appeals agrees with sb2 that a patient, who is visiting from another state and falls ill, is deemed a resident of that state for Medicaid eligibility purposes.

December 20, 2019

sb2 unwinds penalty period for alleged transfer of assets for LMV and qualifies resident back to Feb ’18.

December 18, 2019

sb2 appeals state’s new policy, which attempted to limit how much income a resident could use each month to OME, and wins.

December 16, 2019

sb2 inc. secures another appellate court win when court agrees to open denial allegedly issued in October ’15 based on defective notice arguments.

December 13, 2019

sb2 reduces the time that it was taking a county to process a client’s Medicaid applications from 6-8 months to approximately 60 days.

December 11, 2019

sb2 wins another level of care dispute and qualifies resident back to December ’18.

December 09, 2019

sb2 immediately obtains approval for resident’s application for Medicaid that had been sitting for 9 months.

December 06, 2019

Using CMS Regulations, sb2 gets county to qualify resident for Medicaid after sitting on her application for over a year.

December 04, 2019

Financially distressed skilled nursing facility hires sb2 & partners to train BOM and reduce nearly $1 million in Medicaid pending.

December 02, 2019

Judge agrees with sb2 that notice denying resident’s application was defective and directs county to open application and redetermine eligibility.

November 29, 2019

Providers with over 250 facilities retain sb2 to perform consulting, education & training for their facilities.

November 27, 2019

After nearly 18 months of litigation, Judge issues final order directing county to redetermine resident’s Medicaid application dating back to March ’18.

November 25, 2019

In a first for NC, caseworker agrees with client and sb2 to reduce resident’s monthly patient pay obligation by the amount of his court-ordered alimony payments.

November 22, 2019

After client agrees to “take a shot” on a tough case, sb2 qualifies deceased resident back to August ’18.

November 20, 2019

Provider contracts with sb2 to provide consulting & customized training for the next year.

November 18, 2019

Within a week after appealing denial of resident’s application for Medicaid, sb2 qualifies her back to January ’19.

November 15, 2019

Working with sb2 and following effective Medicaid eligibility & reimbursement practices, client reduces their Medicaid pending numbers by $2 million in 45 days.

November 13, 2019

Using little known state regulation, sb2 qualifies undocumented migrant for Medicaid back to ’17.

November 11, 2019

CMS investigates state’s oversight of managed care contracts based on sb2 inc. administrative complaint.

November 08, 2019

After appealing significant recoupment to state court, sb2 and client team up to have funds returned.

November 06, 2019

For large provider and longtime client, sb2 inc. qualifies another resident for Medicaid back to September ’18.

November 04, 2019

After provider retains sb2 inc. to oversee 12 pending Medicaid matters at all times, the firm immediately qualifies two residents for Medicaid.

November 01, 2019

After sb2 inc. prevailed on appeal before administrative law judge, county grants Medicaid benefits back to September ’17.

October 30, 2019

sb2 inc. is retained by one of the nation’s largest acute care providers to provide Medicaid eligibility & reimbursement consulting services.

October 28, 2019

After settling a state court appeal with the AG’s Office, sb2 convinces ALJ to open denial of a Medicaid application filed in August ’17 and order agency to redetermine eligibility.

October 25, 2019

Judge agrees with sb2’s arguments and orders county to open application for Medicaid with 3 months retro effective October ’18.

October 23, 2019

Federal court agrees with sb2 that Medicaid qualified residents must be allowed to use their monthly income (patient liability) to pay down coverage gaps.

October 21, 2019

sb2 intervenes in Medicaid appeal hearing for client and immediately qualifies resident back to December ’18.

October 18, 2019

sb2 scores another appellate court victory when judge disagrees with decisions issued by a colleague and agrees with sb2’s wins in other matters.

October 16, 2019

sb2 has client appointed as resident's Medicaid Authorized Rep to stop the conversion of her monthly patient liability by a family member.

October 14, 2019

After several rounds of litigation, including a state court appellate win, sb2 qualifies resident for Medicaid back to September ’17.

October 11, 2019

sb2 and client work together to recover 2 years of Medicaid eligibility for current resident.

October 10, 2019

At hearing on delay appeal, sb2 inc. obtains Medicaid coverage for current resident back to Jan ’19.

October 08, 2019

After proving that client properly submitted an application for benefits at administrative hearing, county subsequently grants Medicaid eligibility back to April ’16.

October 04, 2019

Administrative law judge agrees with sb2 inc. that resident’s insurance benefits were improperly counted and grants Medicaid eligibility back to Nov ’18.

October 02, 2019

sb2 qualifies resident for Medicaid back to ’17 using both state and federal regulations.

September 30, 2019

Relying on CMS Regulations, sb2 qualifies deceased applicant for Medicaid back to April ’18.

September 26, 2019

sb2 inc. uses creative strategy to get state to stop requiring Medicaid conferences as a condition precedent to processing residents’ applications for Medicaid.

September 23, 2019

sb2 inc. uses Inaction Appeal to qualify resident back to November ’18 on behalf of longtime client.

September 20, 2019

sb2 inc. and longtime client team up to unwind 100k penalty period in state known for not granting UHW.

September 17, 2019

Sustaining sb2 inc.’s appeal, Appellate court orders new hearing after agency fails to timely provide transcript of administrative hearing in violation of resident’s due process rights.

September 13, 2019

Administrative law judge agrees with sb2 inc. that resident’s denied application must be reopened because county failed to comply with client’s request for assistance.

September 10, 2019

At hearing before administrative law judge, county cedes that “policy” restricting full Medicaid retroactivity wasn’t applicable and allows resident to PEME/OME coverage gap.

September 04, 2019

Appellate Court agrees with sb2 inc. that administrative law judge erred when he dismissed client’s appeal for lack of standing to file it.

August 27, 2019

Board of Appeals opens denial and orders new eligibility determination based only on information that’s currently available after sb2 inc. proved that county agency failed to comply with resident’s written request for assistance.

August 21, 2019

Making it the third appellate court win in a week, state appellate court agrees that sb2 inc.’s client has standing to appeal the denial of resident’s Medicaid appeal.

August 16, 2019

After sb2 inc. convinces appellate court to open Medicaid denial, county agency agrees to grant retroactivity back to ‘16.

August 13, 2019

In another first, state appellate court agrees with sb2 inc. that the county agency committed reversible error when they failed to run the CMS mandated Asset Verification Searches and assist a resident with obtaining requested verifications.

August 08, 2019

sb2 inc. wins another appellate court decision when judge agrees that providers have the authority to appeal Medicaid denials on behalf of their residents.

August 05, 2019

For small NY provider, sb2 inc. turns to CMS Regulations to qualify 15 residents for Medicaid.

July 31, 2019

ALJ agrees with sb2 inc.’s appeal and orders agency to perform Asset Verification Search and provide assistance to resident who isn’t able to obtain requested verification to qualify for Medicaid.

July 29, 2019

ALJ agrees with sb2 inc. that Denials issued by county violated husband and wife’s due process rights and directs county to issue Medicaid benefits for both.

July 24, 2019

ALJ agrees with sb2 inc. that Medicaid applicant was a resident of IN after being admitted to a skilled nursing facility there and orders application to be redetermined.

July 22, 2019

Agreeing with sb2 inc., ALJ rules that agency committed an error of law when it found that resident’s resources were “available” even though resident couldn’t access or liquidate them to qualify for Medicaid.

July 19, 2019

County agrees to allow Medicaid qualified resident to use her current PL to other medical expense/OME her PL stolen by a family member, thereby erasing a nearly 30k outstanding balance.

July 17, 2019

Appellate Court agrees with sb2 inc. that client did not violate the Nursing Home Act’s prohibition against third-party guarantees as a condition of admission.

July 15, 2019

Opening an application filed in June ’13, Appellate Court agrees with sb2 that provider had authority to appeal resident’s Medicaid denial and endorsed the firm-created argument, Prejudicial Delay.

July 12, 2019

AG agrees to settle state court appeal after sb2 inc. asked for review of the denial of resident’s Medicaid application and subsequent appeal. AG agreed that ALJ failed to properly apply CSRA.

July 10, 2019

Numbers are in: longtime client confirms that sb2 inc. recovered $1.07 million dollars in new Medicaid revenue for $76k.

July 08, 2019

State Board of Review agrees with sb2 inc. that resident’s excess resources were “unavailable” and orders county to grant full Medicaid retroactivity.

July 03, 2019

FL—after taking on a complex project with a dozen residents, sb2 inc. qualifies three to date, recovering 3 years of retro Medicaid benefits including prospective eligibility for each.

July 01, 2019

After appealing to circuit court challenging ALJ's Decision, county grants Medicaid benefits back to June '18.

June 27, 2019

Appellate Court agrees with sb2 inc. that client was entitled to an administrative hearing under CMS Regulations before unilaterally finding that client lacked standing.

June 24, 2019

After filing Complaint with CMS, sb2 inc. obtains $167k in patient lability credits for client.

June 18, 2019

sb2 uses global inaction appeal to qualify over 20 residents for Medicaid on behalf of longtime client.

June 11, 2019

Administrative law judge agrees with sb2’s constitutional arguments, over AG’s objections, and opens two Medicaid matters dating back to ’15 and ‘17.

June 07, 2019

sb2 inc. uses federal regulations and a group inaction appeal to qualify 18+ residents for Medicaid.

June 03, 2019

After filing appeal challenging validity of recoupment action, AG agrees to reduce award by approximately $250k.

May 30, 2019

Massachusetts Superior Court reverses itself and agrees that client properly appealed denial of resident’s Medicaid application.

May 21, 2019

sb2 inc. wins 5 Medicaid appeals in single day, creating new law in one that will benefit all of our clients in Illinois.

May 16, 2019

For large provider, sb2 inc. recovers $750k from MCO in withheld Medicaid claims.

May 13, 2019

Another state appellate court agrees with sb2 inc. that a CMS compliant Designated Authorized Representation Form is sufficient to pursue appeals beyond administrative proceedings, rebuking the state's counter position.

May 09, 2019

ALJ agrees that sb2 inc.’s Assignment and Transfer of Known and Unknown Excess Resources properly spent down resident’s excess resources.

May 06, 2019

sb2 inc. appeals denial 16 months after it was issued and recovers $66k in Medicaid benefits.

May 02, 2019

For large client, sb2 inc. has recovered $150k to date in Patient Liability adjustments.

April 29, 2019

Board of Review agrees that even though client couldn't provide requisite verification proving resident's eligibility for Medicaid and spend down of resources putting the resident over the eligibility limit, resident still qualified for Medicaid.

April 11, 2019

In a first at the firm, sb2 inc. qualifies undocumented migrant using the political asylum exception created by CMS.

April 02, 2019

NJ appellate court agrees that notice denying resident’s Medicaid application was defective and orders a hearing on the merits.

March 14, 2019

Federal Judge agrees with sb2 inc. that Illinois must annually submit for CMS review the daily Medicaid rate for skilled nursing care, thereby opening the door for a much needed rate increase.

March 11, 2019

sb2 inc. secures Medicaid eligibility back to November ’17 using assignment of community spouse’s duty to support institutionalized spouse.

February 26, 2019

ALJ agrees that notice denying resident’s application for Medicaid was defective on constitutional grounds and orders county to reevaluate eligibility for benefits.

February 21, 2019

sb2 inc. secures another appellate court victory when judge rules that client’s right to pursue Medicaid benefits survives a resident’s passing.

February 18, 2019

Using an Undue Hardship Waiver filed on behalf of former resident, sb2 inc. recovers $175k for longtime client.

February 14, 2019

In significant win, sb2 uses constitutional arguments to stop state from blocking resident’s second application for Medicaid based on a legal principle that prohibits litigating the same matter twice.

February 11, 2019

Intervening on behalf of midsized provider, sb2 inc. reduces state’s attempted recoup of several hundred thousand dollars of alleged Medicaid overpayments by 90%.

February 07, 2019

sb2 uses constitutional arguments to open denial well after the appeal period had expired and secures Medicaid eligibility from June ’14 to June ’16.

February 04, 2019

Challenging whether the commonwealth properly declined to continue processing resident’s application for Medicaid after resident passed away, AG agrees to settle sb2 inc.’s appeal by granting full retroactive Medicaid benefits.

January 31, 2019

AG agrees to settle sb2 Inc.’s appeal to the commonwealth court over whether Administrative Law Judge properly applied CMS regulations on Undue Hardship Waivers.

January 28, 2019

County agrees to settle sb2 inc.’s appeal of a penalty/restricted period by reducing it $130k and granting resident’s application Medicaid.

January 18, 2019

Although sb2 inc.’s client did not timely submit claims to the insurer, MCO agrees to pay $35k nonetheless.

January 14, 2019

After losing at the administrative level twice, AG settles sb2 inc.’s circuit court appeal and voids resident’s entire penalty/restricted period.

January 10, 2019

Arguing due process and constitutional violations, sb2 inc. opens denial for longtime client and secures Medicaid eligibility back to November ’15.

January 07, 2019

After 3.5 years of litigation, AG withdraws pending appellate court appeal, thereby agreeing that client’s resident has the right to Other Medicaid Expense (OME) gap in Medicaid coverage.

January 02, 2019

After denying DMAHS’s motion for summary judgment, the NJ appellate court agrees with sb2 inc. and orders agency to produce a copy of notice terminating resident’s Medicaid eligibility.

December 17, 2018

sb2 inc. intervenes on behalf of new client operating in NJ and obtains Medicaid eligibility for current resident back to November ’16.

December 07, 2018

After sb2 inc. files appeal with state appellate court, county agrees to push back resident’s Medicaid eligibility effective date.

December 04, 2018

After the NJ appellate court rules in favor of sb2 inc., resident’s application is approved back to February ’16.

November 20, 2018

Administrative Law Judge agrees with sb2 inc. that inability to obtain bank statements doesn’t preclude granting resident’s application for Medicaid.

November 16, 2018

For new client sb2 inc. opens untimely Medicaid appeal based on due process violations.

November 14, 2018

In just one week, sb2 inc. obtains 3 Medicaid approvals for new Illinois clients.

October 04, 2018

sb2 inc. untimely appeals denial and obtains Medicaid eligibility for current resident effective June ’14!

September 24, 2018

sb2 inc. convinces ALJ and caseworker to zero out $23k of Medicaid resident’s monthly patient liability requirement because it was unavailable.

September 21, 2018

The Appellate Court of NJ overrules Medicaid Director’s denial of resident’s application for Medicaid, leading to Medicaid eligibility back to ’15.

September 14, 2018

sb2 inc.’s petition to remove guardian leads to Medicaid eligibility for 3 residents whose applications had pended for a significant period of time.

September 12, 2018

After sb2 inc. threatens to appeal agency’s breach of prior settlement agreement to perform AVS/PARIS search under CMS Regs, resident is subsequently approved for Medicaid with full retroactivity.

September 10, 2018

For one of nation’s largest providers, sb2 inc. settles Medicaid appeal, obtaining full Medicaid coverage even though QIT wasn’t set up until nearly 1 year after resident’s application for benefits.

September 06, 2018

After nearly a year of litigation before the Bureau of Hearings and Appeals, NJ county finally agrees to open & process application dating back to November '16.

August 31, 2018

For new client located in NY, sb2 inc. obtains 8 Medicaid approvals using federal regulations.

August 29, 2018

sb2 inc. intervenes on behalf of longtime client after administrative law judge orders them to return previously paid Medicaid benefits and wins full Medicaid coverage without a coverage gap!

August 17, 2018

For large fiscal agent, sb2 inc. uses ADA and Due Process arguments to persuade appeal board to overrule administrative law judge and grant facility a new hearing.

August 15, 2018

In a significant win, the Court of Appeals for Ohio agrees with sb2 inc. that providers have standing to file civil court appeals, and caseworkers must provide assistance to disabled residents when asked.

August 13, 2018

sb2 inc. qualifies 3 current residents for Medicaid and recovers 40 months of retro eligibility in just one day.

August 03, 2018

sb2 secures three state appellate court victories in one week—NJ, IL, and PA.

July 02, 2018

sb2 inc. adds 7 new clients with facilities in NY, NJ, MA, LA, VA, and OH.

June 29, 2018

sb2 inc. wins 9 Medicaid appeals in one day, including an appeal to NJ Superior Court awarding benefits back to ’13.

June 27, 2018

After pushing Rhode Island to acknowledge that it must allow skilled nursing providers to OME/IME/PEME resident coverage gaps, client gets the paperwork to start the process.

June 06, 2018

sb2 inc. helps client to recover $250k in wrongfully recouped Medicaid benefits for alleged overpayments.

June 04, 2018

To resolve pending federal lawsuit, state agrees to open denial of resident’s application for Medicaid, dating back several years.

May 31, 2018

sb2 inc.’s client settles federal lawsuit for lump sum payment because of state’s failure to allow residents to OME/IME.

May 29, 2018

After over a year of litigation, sb2 inc. qualifies OH resident for Medicaid effective July ’16.

May 24, 2018

sb2 inc. qualifies Illinois resident for Medicaid back to September ’14.

May 22, 2018

After nearly 2 years of litigation, ALJ agrees with sb2 inc.’s constitutional arguments and opens Medicaid application filed in July ’15.

May 17, 2018

sb2 inc. teams up with CMS to recover payments on Medicare/Medicaid crossover claims that were denied years ago.

May 15, 2018

Although the appeal was filed after the deadline, sb2 inc. opens Denial issued in ’16 for Illinois client.

May 07, 2018

For Illinois provider, sb2 inc. opens denial after filing untimely appeal and obtains 2 years of retroactive Medicaid coverage.

May 04, 2018

For new client, sb2 inc. recovers denied claims from Medicare Advantage Plan.

May 02, 2018

Over the past week, sb2 inc. is hired by three providers and the Louisiana Nursing Home Association.

April 30, 2018

After hiring sb2 inc. for consulting, midsized regional provider starts receiving their first Medicaid approvals.

April 16, 2018

sb2 inc. uses CMS Regulations to quickly qualify 9 Ohio residents for Medicaid for large regional provider based in Ohio.

April 05, 2018

For new Ohio client, sb2 inc. immediately qualifies 3 residents whose Medicaid applications had pended longer than allowed by CMS.

April 03, 2018

sb2 inc. unwinds $103k recoupment by Illinois for alleged Medicaid overpayments to provider.

March 28, 2018

sb2 inc. wins two Undue Hardship Waiver petitions for longtime Kentucky client.

March 22, 2018

sb2 inc. brings on 8 new clients with 141 facilities from Texas to Massachusetts.

March 08, 2018

For the third time in the last few months, sb2 inc. convinces the New Jersey Superior Court to overturn an adverse decision issued by DMAHS, denying a resident’s application for Medicaid benefits.

February 21, 2018

After filing complaint in federal court, Virginia attorney general agrees with sb2 inc. that Decertification Notice sent to resident was defective and reopens her Medicaid benefits.

February 19, 2018

After appealing adverse Administrative Law Judge’s decision to the appellate court of Pennsylvania, Attorney General agrees to settle with sb2 inc., granting Medicaid benefits back to March ’16.

February 16, 2018

After agreeing with sb2 inc. that two denials were issued in error, Missouri caseworker agrees to open both, resulting in over 2.5 years of Medicaid eligibility.

February 14, 2018

In just two weeks, sb2 inc. adds 6 new clients with approximately 80 facilities from IL to RI.

February 13, 2018

For large insurance carrier, sb2 inc. uses CMS Regulations to stop Nebraska from implementing new policy restricting residents’ access to health care.

February 12, 2018

In just 6 months, sb2 inc. obtains Medicaid eligibility for alleged undocumented immigrant without a payor source for the last 10 years.

January 17, 2018

For long time client, sb2 inc. secures 3 Medicaid eligibility victories, 2 of which had been denied and appealed to ALJs.

January 16, 2018

In just a matter of a few months, sb2 inc. obtains Medicaid approvals with full retroactivity for 18 of 22 residents.

January 09, 2018

Based on sb2 inc.’s constitutional arguments, ALJ orders county to open resident’s application filed in ’15.

January 09, 2018

Using little known CMS Regulation, sb2 inc. convinces ALJ to open current resident’s June ’15 application.

January 09, 2018

After months of litigation in federal court, AZ admits that it must allow skilled nursing residents to OME/PEME/Income Deviate!

January 04, 2018

VA—with the help of DMAS, an MCO agrees to pay each of the past due claims for 5 former residents.

December 13, 2017

sb2 inc. adds four new providers in just 3 days with facilities in TN, IL, NY, NJ, and MA.

December 07, 2017

In just two weeks, sb2 inc. adds 10 new clients with over 750 facilities.

November 21, 2017

In only the third time in 10 years, sb2 inc. convinces the NJ Superior Court to overrule DMAHS’ denial of a resident’s application for Medicaid.

November 15, 2017

In a matter of first impression, the Ohio Board of Review affirms sb2 inc.’s position that a DAR survives death per CMS Regulations.

November 15, 2017

sb2 inc. forces Medicaid Advantage Plan to return 2% Sequestration wrongly withheld from client.

November 07, 2017

sb2 inc. makes law again when Virginia appellate court denies AG’s argument that skilled nursing facilities lack standing to pursue Medicaid appeals despite federal regulation saying otherwise.

November 07, 2017

Continuing the firm’s expansion, sb2 inc. brings on three new providers in a week.

October 30, 2017

sb2 inc. challenges state’s nearly $1 million dollar recoupment and recovers over 90% for client.

October 23, 2017

sb2 inc. unwinds 600k penalty period by using business valuation expert and qualifies resident for Medicaid.

October 13, 2017

After extensive litigation, New Mexico AG agrees to entry of court order opening Medicaid application denied in July ’13.

October 06, 2017

sb2 inc. recovers over $120k in long pending Veterans Administration benefits for national provider.

October 04, 2017

Another new client with several facilities hires sb2 inc. to assist with their Medicaid/Medicare eligibility & reimbursement needs.

October 04, 2017

sb2 inc. lands new client with homes in Illinois, Wisconsin, and Michigan.

September 26, 2017

In another first, sb2 inc. convinces county to treat QIT funding like other exempt transactions.

September 25, 2017

sb2 inc. uses prospect of federal court Delay Action to obtain 18 Medicaid approvals for new client.

September 25, 2017

sb2 inc. makes law again when federal court grants injunction requiring Illinois to comply with CMS Regulations.

September 13, 2017

sb2inc. brings on two new clients this week, one an insurance company operating in 4 states.

September 08, 2017

Sb2inc. adds 5 new clients in two weeks, one of which is a large privately held insurance company operating in over 20 states.

August 16, 2017

NJ—For long-time client, sb2 inc. uses constitutional due process protections to open denials to qualify two residents back to early ‘16.

August 01, 2017

NC—After enduring months of delay, which caused significant revenue flow issues, sb2 inc. intervenes and gets client’s Medicare enrollment application approved.

August 01, 2017

OH—ALJ agrees with sb2 inc. that county had to reinstate resident’s Medicaid benefits because they weren’t properly discontinued.

July 27, 2017

sb2 inc.’s expansion continues with two former clients returning to the firm.

July 24, 2017

IL—federal court grants sb2 inc.’s request for class action certification against the state of Illinois for not timely processing residents’ applications for Medicaid benefits.

July 24, 2017

OH—trial court agrees that the cash-in value of resident’s life insurance policy was unavailable, despite having a guardian appointed, and orders the county to approve the pending application.

July 14, 2017

WA—based on constitutional grounds, ALJ overrules agency and orders approval of resident’s application for Medicaid back to September‘15.

July 14, 2017

OH—in a matter of first impression, trial court holds that Designated Authorized Representative signed before resident’s incapacity, allows skilled nursing facility to appeal denials beyond the administrative level.

July 14, 2017

VA—ALJ orders agency to reopen resident’s application because case worker failed to assist resident with obtaining missing verifications.

July 14, 2017

OH—sb2 inc. uses private criminal complaint to recover $14k in PL stolen by resident’s son.

June 26, 2017

VA—sb2 inc. relies on constitutional arguments to open denial issued in ‘15 and then obtain eligibility based on caseworker’s failure to obtain needed verifications via AVS.

June 22, 2017

IL—in one of the firm’s biggest wins ever, federal judge agrees that Illinois has violated CMS regulations by not timely qualifying residents for Medicaid and paying approved claims.

June 22, 2017

TN—in another first, sb2 inc. convinces probate court judge to appoint facility as resident’s Medicaid Authorized Representative to qualify her for Medicaid.

June 22, 2017

RI—sb2 inc. uses constitutional arguments to open denial issued in‘13 and overturn $111k penalty period.

June 22, 2017

NJ—agreeing with sb2 inc., ALJ overturns MCO’s conclusion that resident lacked the requisite medical necessity for skilled nursing care and grants Medicaid benefits to her date of admission.

June 08, 2017

IL—sb2 inc. secures the firm’s biggest victory to date when Illinois Federal Court rejects every single argument advanced by the IL Attorney General seeking dismissal of civil action asking for automatic approval of long-pending Medicaid applications.

June 08, 2017

sb2 inc. continues their selective growth initiative and adds a new client overseeing over 150 facilities in 4 states.

May 29, 2017

VA—sb2 inc. pursues unpaid claims submitted over a year ago by client to the Veterans’ Administration and obtains full payment within weeks.

May 02, 2017

AZ—sb2 inc. intervenes on behalf of new client and forces successor to defunct medicare advantage plan to pay past due claims.

May 01, 2017

TX—sb2 inc. accommodates the court’s request, steps in as guardian, and then releases 33k to long-time client and largest religiously affiliated provider.

May 01, 2017

CT—sb2 inc. forces managed care organization to pay numerous late claims because of their poor claims submission procedures.

May 01, 2017

KS—sb2 inc. uses federal litigation based on CMS regulations to obtain 23 approvals for single facility in 6 months.

May 01, 2017

RI—although federal judge denies sb2 inc.’s preliminary injunction, she does say that if Rhode Island tries to recover from clients alleged overpayments, she will grant the injunction barring them from doing it.

May 01, 2017

ND—in one of the firm’s biggest victories, sb2 inc. teams up with CMS to force North Dakota to stop deeming unavailable assets as available.

April 10, 2017

In just a few months, sb2 Inc. adds clients with over 150 facilities and continues to expand services offered by the firm.

April 10, 2017

OH—after aggressively pushing the legal theory for some time, criminal court judge allows sb2 inc. to pursue private criminal matter against power of attorney for theft.

March 22, 2017

PA—relying on lessons learned from having a national practice, sb2 inc. obtains Medicaid eligibility for resident effective February ’14.

March 22, 2017

OH—sb2 inc. uses new constitutional arguments to qualify 6 residents whose applications had been pending longer than allowed by CMS.

March 22, 2017

MS—sb2 inc. picks up win in Mississippi by using proprietary legal theory to qualify resident for Medicaid.

March 22, 2017

AR—because of sb2 inc.’s efforts over the last 2 years, Arkansas has been ordered to allow all residents to Other Medicaid Expense gap coverages using their Patient Liability.

March 14, 2017

IL—sb2 inc. intervenes on behalf of new client and pushes state to approve application pending since ’14.

March 14, 2017

IA—sb2 inc. uses federal regulations to show that ownership interest in business wasn’t an available resource and qualifies resident for Medicaid.

February 27, 2017

KY/IA—over several weeks, sb2 inc. recovers 100+ months of Medicaid retroactivity for one of the nation’s largest providers.

February 27, 2017

OH—sb2 inc. uses assignment of spousal support rights to qualify incapacitated resident with uncooperative community spouse.

February 27, 2017

PA—sb2 inc. relies on constitutional arguments to open penalty/restricted period imposed by caseworker in 2013 and ending in 2018.

February 27, 2017

IL—trial court agrees with sb2 inc. and appoints the first ever Medicaid Authorized Representative in Illinois.

February 27, 2017

OH—sb2 Inc. uses request for compliance audit based on federal regulations and immediately receives 6 Medicaid approvals for long-time client.

February 20, 2017

MD—after filing an appeal with the Maryland Circuit Court, sb2 inc. and Maryland agree to open Medicaid denial and reevaluate resident's eligibility based on controlling federal regulations.

February 13, 2017

NJ—sb2 inc. uses immigration regulations to qualify non-documented resident for Medicaid back to '14.

February 06, 2017

MD—after appealing administrative loss to the trial court, sb2 inc. and Maryland agree to open a denial based on a federal regulation that defines the "unavailability" of assets.

February 06, 2017

OH—despite a pending application for Medicaid, sb2 inc. convinces ALJ to allow client to discharge resident with $100k outstanding balance based on her POA's unclean hands.

February 06, 2017

OH—sb2 inc. continues creating new law when appellate court agrees that Designated Authorized Reps do survive a resident's death.

February 06, 2017

KY—relying on the constitution, sb2 inc. gets ALJ to reverse denial even though appeal was filed well after the applicable deadline.

February 06, 2017

FL—sb2 inc. uses little known regulation to open denial months past the appeal deadline and obtain Medicaid eligibility back to July '15.

January 24, 2017

VT—sb2 inc. intervenes on behalf of new client and stops Medicare Advantage Plan from recouping alleged overpayments.

January 24, 2017

NJ—ALJ agrees with sb2 inc. and reduces 97% of substantial penalty period based on undue hardship waiver.

January 24, 2017

MD—continuing a tradition of making law, Circuit Court Judge agrees with sb2 inc. that a DAR survives the death of a resident.

January 23, 2017

OH—for new client with over 100 facilities, sb2 inc. persuades ALJ to grant inaction appeal and order case worker to grant benefits.

January 23, 2017

IL—new client receives 44 Medicaid approvals in just 30 days after hiring sb2 Inc. to pursue federal action against Illinois.

January 09, 2017

SC—relying on federal constitutional protections, sb2 inc. persuades ALJ to grant Medicaid benefits back to June of ’12.

January 03, 2017

NJ—Superior Court agrees with sb2 inc. that a Medicaid appeal must be reinstated where resident was “misadvised” by caseworker to withdraw it.

January 03, 2017

sb2 Inc. brings on 105 new clients since 2014.

December 15, 2016

Continuing our focus on creativity, sb2 inc. obtains the first MAR in Connecticut allowing the facility to qualify residents for Medicaid.

December 14, 2016

MD—for county home, sb2 inc. uses federal regulation to show that although resources were countable, they were unavailable as a matter of law.

November 29, 2016

VA—ALJ agrees with sb2 inc. that denial of resident’s Medicaid application was defective and orders the matter be reopened with full retroactivity.

November 29, 2016

AZ—sb2 inc. and client work together to force Medicare Advantage Plan to return sequestration reduction to client’s member facilities.

November 29, 2016

CA—in another first, sb2 inc. convinces California Court to allow a facility to be appointed as a resident’s MAR to qualify her for Medicaid.

November 17, 2016

OH—sb2 inc. obtains approval to OME/PEME $27k in patient liability that was stolen by resident’s son.

November 11, 2016

KS—sb2 inc. files federal delay action at the end of September ’16 and obtains 14 of 23 approvals in weeks!

November 10, 2016

OH—board of review agrees with sb2 inc. that ALJ impermissibly assisted caseworker during hearing and orders a new hearing with a new ALJ.

November 09, 2016

TN—sb2 inc. uses federal regulations to unwind $300k penalty/restricted period for current resident who had a $100k outstanding balance and no payor source until January ’19.

October 05, 2016

NJ—sb2 inc. uses proprietary strategy to retroactively reduce resident’s excess resources back to her date of admission, resulting in Medicaid eligibility effective October ’15.

October 04, 2016

PA—for large regional provider, sb2 inc. unwinds $145k penalty period for the transfer of a former resident’s home for less than fair market value.

October 03, 2016

TN—sb2 inc. challenges a Tennessee Medicaid reimbursement policy, which had been causing significant losses to client, and wins!

September 30, 2016

SD—sb2 inc. uses proprietary strategies to force trustee of resident’s trust to make a payment of $85k to firm’s long-time client.

September 29, 2016

NM—sb2 inc. again qualifies a resident for Medicaid without spending down all countable resources or providing all requested verification

September 28, 2016

OH—sb2 inc. again shows a that a resident cannot be prejudiced under the ADA by a caseworker’s failure to timely process a resident’s application for Medicaid.

September 27, 2016

OH—in a first, sb2 inc. uses recently formulated strategy to show that caseworkers have a duty to protect residents from bad guardians who botch their Medicaid applications.

September 26, 2016

NJ—in just one week, sb2 inc. wins 3 Administrative Law Judge proceedings for the same skilled nursing provider challenging denials issued by 3 different counties.

September 23, 2016

NY—for new client, sb2 inc. not only gets the resident’s PL reduced retroactively, but also gets an approval to OME the resident’s PL subject to tax garnishment.

September 22, 2016

NY—sb2 inc. relies on constitutional protections to open adverse ALJ adjudication even though client admittedly failed to attend hearing.

September 21, 2016

MI—for one of the nation’s top 5 largest providers, sb2 inc. reviews previously written off Medicaid matter and then qualifies resident back to December ’13!

September 20, 2016

Looking for a way to overcome inadequate guardianship services for residents, sb2 Inc. helps group of clients create their own guardianship service.

September 19, 2016

AZ—for nation’s largest religiously affiliated provider, sb2 inc. intervenes at the last minute and qualifies incapacitated, orphaned resident for Medicaid.

September 16, 2016

SC—for regional provider, sb2 inc. qualifies another resident under the firm’s new monthly project fee agreement.

September 15, 2016

PA—Secretary of DHS agrees with sb2 inc., overrules ALJ, and orders a hearing on the merits despite fact that the appeal was filed 1 year after the deadline.

September 14, 2016

NJ—Schutjer Bogar obtains nearly 3 years of retroactive Medicaid benefits for current resident using a little known strategy created by the firm.

September 13, 2016

IN—Schutjer Bogar convinces Secretary of Department of Welfare to overrule ALJ who denied resident’s appeal because it was filed 18 months after it was issued.

September 12, 2016

NJ—Schutjer Bogar uses inaction appeal and several firm created strategies to qualify current resident all the way back to December ’13!

September 09, 2016

PA—for longtime client, Schutjer Bogar uses Medicaid eligibility process to recover $40k from resident’s power of attorney.

September 08, 2016

PA—Schutjer Bogar obtains two more Medicaid approvals for client who sold facility but retained ownership of pending Medicaid matters.

September 07, 2016

ND—after a 2 year battle to qualify current resident, Schutjer Bogar successfully forces payment of resident’s approved application for Medicaid.

September 06, 2016

FL—Schutjer Bogar teams up with client to qualify resident for Medicaid back to October ’15 despite the creation of a QIT in July ’16.

September 05, 2016

KS—for the first time in Kansas, Schutjer Bogar has facility appointed as resident’s MAR to take over Medicaid eligibility process.

September 02, 2016

OH—for regional provider, Schutjer Bogar unwinds $70k penalty/restricted period for current resident.

September 01, 2016

AR—although the appeal of denial was submitted well past the deadline, Schutjer Bogar qualifies current resident effective August ’15.

August 31, 2016

DE—Schutjer Bogar uses proprietary strategy to compel competent resident, who had never had a payor source, to qualify for Medicaid.

August 30, 2016

SC—for local provider, Schutjer Bogar jumps in at the last minute, obtains missing verification, and qualifies resident back her date of admission.

August 29, 2016

NC—after proving that the resident’s Due Process rights were violated, Schutjer Bogar opens denial and qualifies resident effective March of ’15.

August 26, 2016

VA—immediately after a new client forwards a 20 case project to the firm, Schutjer Bogar obtains an approval for a resident without a payor source since her admission.

August 25, 2016

WV—Schutjer Bogar convinces probate court to grant the very first MAR in West Virginia, allowing facility to qualify resident for Medicaid.

August 24, 2016

PA—Secretary of Department of Human Services grants Schutjer Bogar’s request to reconsider ALJ’s erroneous understanding of availability of assets.

August 23, 2016

Mid-Atlantic—Schutjer Bogar uses class action to open 6 previously denied applications for Medicaid!

August 22, 2016

Mid-Atlantic—Schutjer Bogar uses federal court action to open and obtain an approval for long pending application for Medicaid.

August 19, 2016

ID—Schutjer Bogar gets the first two MARs ever approved by a trial court in Idaho!

August 18, 2016

OH—Schutjer Bogar assists resident’s attorney in opening application that was erroneously denied for the transfer of a home to a disabled child.

August 17, 2016

OH—after contentious ALJ hearing, county assistance office concedes and issues Medicaid approval with a July ’15 effective date.

August 16, 2016

NC—state verbally approves Schutjer Bogar’s petition to IME/OME $93k penalty/restricted period!

August 15, 2016

KY—showing that judges are embracing MARs, trial judge grants MAR petition without requiring a hearing.

August 12, 2016

AZ—for nation’s largest religiously affiliated provider, Schutjer Bogar uses petition for civil contempt to force bank to turn over records to qualify resident for Medicaid.

August 11, 2016

MD—for successor nursing home, Schujter Bogar opens time-barred reimbursement claims and obtains all pending Medicaid dollars!

August 10, 2016

AR—after Schutjer Bogar enters their appearance to handle appeal hearing for long-time client, state reverses course and qualifies resident back to October ’15.

August 09, 2016

FL—for large third party fiscal agent, Schutjer Bogar has facility appointed as resident’s MAR to qualify her for Medicaid.

August 08, 2016

NM—Schutjer Bogar intervenes on behalf of nation’s largest provider and qualifies resident without a payor source back to July ’15.

August 05, 2016

NY—for regional provider, Schutjer Bogar challenges PL/NAMI determination and recovers $70k for client.

August 04, 2016

CO—Schutjer Bogar uses MAR and petition for civil contempt to obtain $100k+ private payment for current resident!

August 03, 2016

NM—For nation’s largest provider, Schutjer Bogar files appeal and obtains significant Medicaid gap coverage effective October ’14.

August 02, 2016

SC—after winning initial appeal, Schutjer Bogar files second appeal and qualifies resident back to April ’15.

August 01, 2016

KY—After long, hard battle, ALJ agrees with Schutjer Bogar and issues written decision ordering case worker to reinstate resident’s Medicaid benefits effective November ’14.

July 28, 2016

NM—after using a MAR proceeding to push resident’s family to sign a DAR, Schutjer Bogar qualifies her for Medicaid effective January ’16.

July 27, 2016

PA—for large ASSISTED LIVING provider, Schutjer Bogar secures $47.5k using a variety of litigation tactics.

July 26, 2016

NJ—for national 3rd party fiscal agent, probate court agrees with Schutjer Bogar and appoints facility as resident’s MAR to obtain additional Medicaid benefits.

July 25, 2016

NM—Schutjer Bogar continues to make law in New Mexico by getting two more counties to approve the firm’s petitions to appoint MARs.

July 22, 2016

SC—after overcoming substantial 21 month restricted/penalty period, Schutjer Bogar qualifies resident effective January ’15.

July 21, 2016

OH—Schutjer Bogar obtains rare Undue Hardship Waiver for restricted/penalty period covering 12 months after proving to caseworker that client’s resident was entitled to one.

July 20, 2016

OH—Schutjer Bogar opens denial of September ’15 application based on defective notice and violation of resident’s Due Process rights.

July 19, 2016

TX—Schutjer Bogar overcomes state’s motion to dismiss for client learning to handle Medicaid appeal hearings on their own.

July 18, 2016

FL—after being asked to intervene at the last minute, Schutjer Bogar qualifies resident for Medicaid effective March ’15 despite a recalcitrant guardian.

July 15, 2016

NM—for nation’s largest provider, Schutjer Bogar qualifies deceased resident for Medicaid without having to open an estate or obtain judicial authority.

July 14, 2016

KY—judge agrees with Schutjer Bogar that caseworker’s verbal promise to approve resident’s application means that resident is Medicaid eligible effective January ’15!

July 13, 2016

NJ—for regional third party fiscal agent, Schutjer Bogar has a MAR appointed, then helps facility qualify current resident back to November ’15.

July 12, 2016

SC—Schutjer Bogar intervenes in long pending Medicaid application and qualifies current resident back to December ’15.

July 11, 2016

ND—Schutjer Bogar and client work together to force POA to pay $166k in cash to client to bring resident’s account current!

July 08, 2016

KY—for national provider, Schutjer Bogar squashes alleged penalty/restricted period and qualifies resident back to August ’14!

July 07, 2016

TX—Schutjer Bogar uses guardianship proceeding to show theft of resident’s assets by her power of attorney and secures $85k payment to facility.

July 06, 2016

WV—in a significant win, Schutjer Bogar files untimely appeal, opens denial, and qualifies current resident back to May of ’14!

July 05, 2016

SD—Schutjer Bogar intervenes early and convinces caseworker to qualify current resident for Medicaid without imposing substantial penalty period.

July 04, 2016

KY—Schutjer Bogar challenges state’s failure to timely process resident’s application for Medicaid and qualifies her effective March ’15.

July 01, 2016

KY—after considerable effort from Schutjer Bogar, County apologizes for dropping resident from Medicaid and reinstates benefits back to August ’15.

June 30, 2016

MD—During hearing before ALJ, caseworker agrees to reopen case and qualify resident for Medicaid effective September ’15 based on arguments presented by Schutjer Bogar.

June 29, 2016

MD—Schutjer Bogar has local provider appointed as current resident’s MAR to qualify her for Medicaid

June 28, 2016

MD—ALJ rules in favor of county nursing home and orders caseworker to reopen current resident’s application for Medicaid and qualify her back to her date of admission.

June 27, 2016

AR—Schutjer Bogar and Arkansas AG enter into settlement of pending appeal, qualifying resident back to July ’14.

June 24, 2016

KY—for national provider, Schutjer Bogar obtains Special Circumstance, qualifying resident back to August ’14.

June 23, 2016

CO—for nation’s largest provider, Schutjer Bogar uses CMS regulations to qualify resident for Medicaid WITHOUT producing requisite verification.

June 22, 2016

MD—by applying CMS regulations, Schutjer Bogar unwinds $173k penalty period for resident at one of client’s numerous Maryland facilities.

June 21, 2016

ME—Schutjer Bogar’s cloud print continues to grow with new client located in Maine!

June 20, 2016

KY—Schutjer Bogar qualifies 14th resident who was part of a 17 resident project for a regional provider.

June 17, 2016

KY—ALJ grants Schutjer Bogar’s Special Circumstances Request and qualifies resident back to September ’14!

June 16, 2016

NJ—proof that relationships really do evolve, a caseworker agrees to undo denial of resident’s application for Medicaid during a hearing before an ALJ.

June 15, 2016

Schutjer Bogar recovers $1.2 million in long pending Medicaid dollars for small MARYLAND provider!!!

June 14, 2016

OH—Probate Judge grants Schutjer Bogar’s petition demanding that POA qualify current resident for Medicaid.

June 13, 2016

NM—Schutjer Bogar persuades Board to overrule ALJ and reopen Medicaid application filed in February of ’14!

June 10, 2016

ND—in a substantial win, state court appellate judge overturns ALJ, holding that only “actual available” assets may be used when calculating excess resources!

June 09, 2016

NJ—in a big win, state court trial judge reverses an earlier decision and grants the first ever MAR in New Jersey filed on behalf of a deceased resident.

June 08, 2016

KY—Schutjer Bogar obtains 12th Medicaid approval for regional client who referred 17 case project.

June 07, 2016

NJ—ALJ agrees with Schutjer Bogar that caseworker violated several state and federal regulations in denying resident’s application and orders him to grant benefits effective December ’13.

June 06, 2016

MD—Schutjer Bogar uses UHW for missing verification to qualify current resident back to date of admission!

June 03, 2016

NJ—Schutjer Bogar uses inaction appeal filed with the NJ Superior Court to obtain hearing and Medicaid benefits on behalf of current resident.

June 02, 2016

PA—Schutjer Bogar and Attorney General agree to settle state court appeal, challenging ALJ’s failure to open denial for not complying with CMS regulations.

June 01, 2016

Why the NJ class action case is so important for protecting the rights of our clients and the elderly

Taking on the MCOs!

AR—in another first, state court appellate Judge agrees with Schutjer Bogar that room & board can be OMEed under CMS regulations and orders ALJ to allow it!

May 31, 2016

SC—after a long battle, Schutjer Bogar’s UHW challenging substantial penalty period is granted, qualifying resident for Medicaid back to January ’13!

May 30, 2016

OH—during a hearing before an ALJ, caseworker agrees to let resident return to private pay without reimbursing Medicaid after inheriting a substantial sum of money.

May 27, 2016

NM, KY, IN—in the span of just a few weeks, Schutjer Bogar qualifies 8 residents for Medicaid on behalf of nation’s largest provider.

May 26, 2016

KY—after taking on a 17 case project for regional provider just two months ago, Schutjer Bogar obtains 10th Medicaid approval.

May 25, 2016

OH—after a long battle, Schutjer Bogar qualifies orphaned and incapacitated resident for Medicaid.

May 24, 2016

IN—after having a MAR appointed, Schutjer Bogar works with caseworker to exclude several assets and qualify resident for Medicaid.

May 23, 2016

NM—Schutjer Bogar intervenes 2 days before an appeal hearing and convinces county and ALJ that mineral rights owned by resident were unavailable.

May 20, 2016

VA—in another first, Schutjer Bogar obtains a MAR in Virginia allowing the facility to qualify a resident for Medicaid.

May 19, 2016

KY—using an Inaction Appeal, Schutjer Bogar qualifies resident for Medicaid effective November ’15.

May 18, 2016

KY—Schutjer Bogar pursues Delay Action and obtains Medicaid for resident who was without a payor source since January ’15.

May 17, 2016

KY—Schutjer Bogar obtains Special Circumstance Waiver and qualifies resident for Medicaid back to March ’15.

May 16, 2016

Now representing providers, facilities, third-party fiscal agents, healthcare associations and related entities nationwide.

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NM—for nation’s largest provider, Schutjer Bogar gets Medicaid qualification for a resident who had no payor source since her admission over 2 years ago.

May 13, 2016

SC—Schutjer Bogar intervenes for new client, and qualifies current resident back to July ’15 using federal regulations.

May 12, 2016

NC—after a long battle, Schutjer Bogar qualifies current resident with excess resources and missing verification back to April ’14.

May 11, 2016

SD—Schutjer Bogar intervenes in Medicaid appeal and convinces the state that income received by resident from a mortgage is not an excess resource.

May 10, 2016

SC—after Schutjer Bogar changed the law in South Carolina, facility obtains approval to “OME” Medicaid approved resident’s outstanding balance.

May 09, 2016

MD—Schutjer Bogar has a MAR appointed to qualify long-time resident without a payor source for Medicaid.

May 06, 2016

KY—for nation’s largest provider, Schutjer Bogar takes over Medicaid appeal based on missing verification and quickly qualifies resident effective August ’15.

May 05, 2016

FL—Schutjer Bogar quickly qualifies current resident for Medicaid after proof that a MAR had been filed to obtain spend down of excess resources.

May 04, 2016

MD—using applicable federal regulations, ALJ agrees with Schutjer Bogar that Maryland residents may file new applications while appealing ones that were denied.

May 03, 2016

AR—after intervening in Medicaid appeal, Schutjer Bogar works with Assistant Attorney General to quickly qualify current resident back to August ’15.

May 02, 2016

MD—Schutjer Bogar uses federal regulations to force caseworker to assist in obtaining missing verification to qualify current resident for Medicaid.

April 29, 2016

NJ—New York Supreme Court denies Attorney General’s attempt to dismiss Schutjer Bogar's appeal of ALJ’s decision that violates federal preemption.

April 28, 2016

IA—for national religiously affiliated provider, Schutjer Bogar opens appeal that trial court found the ALJ had incorrectly denied.

April 27, 2016

SC—for new client that forwarded a test case before retaining the firm on a large scale, Schutjer Bogar qualifies current resident back to November ’13.

April 26, 2016

VA—Schutjer Bogar opens up denial by filing untimely Inaction Appeal!

April 25, 2016

ND—after assigning some farm equipment to our client, Schutjer Bogar qualifies current resident for Medicaid who had no payor source for almost 2 years!

April 22, 2016

Schutjer Bogar adds 3 new clients to their roster in just one week!

April 21, 2016

OH—Schutjer Bogar schools MCO in front of ALJ for denying resident’s application and in turn qualifies resident for Medicaid.

April 20, 2016

NJ—Orphan’s Court judge praises Schutjer Bogar for using MARs and NOT guardianships to qualify residents for Medicaid.

April 19, 2016

NM—for nation’s largest provider, Schutjer Bogar uses federal regulations to open denial dated February ’14!

April 18, 2016

OH—for long time client, Schutjer Bogar appeals denials of nearly years of Medicaid Claims that were allegedly submitted beyond the submission deadline, and wins!

April 15, 2016

OH—after a long and difficult battle with the county, Schutjer Bogar qualifies current resident for Medicaid back to December ’14!

April 14, 2016

NJ—Schutjer Bogar wins appeal filed with the NJ Appellate Court after AG’s client concedes and grants hearing on resident’s denied Medicaid application.

April 13, 2016

IA—for nation’s largest provider, Schutjer Bogar uses proprietary strategy to qualify current resident for Medicaid despite excess resources.

April 12, 2016

RI—on behalf of new client, Schutjer Bogar intervenes and obtains Medicaid benefits for resident who had been in the facility for 1.5 years without a payor source.

April 11, 2016

NJ—Schutjer Bogar intervenes on two applications that a county was refusing to process and qualifies both residents back to August ’15.

April 08, 2016

SD—based on petition filed by Schutjer Bogar, judge orders resident’s POA to immediately qualify her for Medicaid, turn over all missing resident income, and perform an accounting!

April 07, 2016

NM—Schutjer Bogar intervenes in long pending Medicaid application and immediately forces POA to pay provider $58k and list resident’s home for sale.

April 06, 2016

NC—Schutjer Bogar intervenes in complicated case with bad guardian and recovers $104k and qualifies current resident for Medicaid.

April 05, 2016

Schutjer Bogar adds new client with numerous facilities in Virginia.

April 04, 2016

SC—in a big win, Schutjer Bogar uses preemption arguments to qualify current resident back to April ’15!

April 01, 2016

KY—Schutjer Bogar uses federal court action to approve current resident back to March ’15 AND to have PL zeroed out back to ’14.

March 31, 2016

NY—after reviewing Schutjer Bogar’s pre-hearing brief, the state immediately reduces penalty period for transfers of assets for less than fair consideration by over 50%.

March 30, 2016

KY—Schutjer Bogar takes on 17 case project for regional provider and immediately qualifies current resident for Medicaid using one single federal regulation.

March 29, 2016

AL—Schutjer Bogar has the third MAR ever appointed in Alabama to qualify current resident for Medicaid.

March 28, 2016

CO—Schutjer Bogar files appeal and negotiates with caseworker to grant full Medicaid retroactivity for current resident back to August ’14!

March 25, 2016

PA—on behalf of a religiously affiliated provider, Schutjer Bogar settles Commonwealth Court appeal with AG, resulting in full Medicaid retroactivity.

March 24, 2016

KY—on behalf of nation’s largest provider, Schutjer Bogar uses novel litigation strategies in a tough state to qualify 3 more current residents, bringing the total to 18!

March 23, 2016

CO—after working with INS to clarify resident’s residency status, Schutjer Bogar qualifies him for Medicaid all the way back to April ’14!

March 22, 2016

ND—after a long, hard battle, Schutjer Bogar gets resident re-qualified for Medicaid after she was dropped in violation of her Due Process rights.

March 21, 2016

SC—for local provider with multiple locations, Schutjer Bogar intervenes and unwinds penalty period, qualifying resident back to December ’14.

March 18, 2016

TN—Schutjer Bogar qualifies current resident for national provider in record time!

March 17, 2016

KY—for nation’s largest provider, Schutjer Bogar intervenes in long-pending, difficult case and obtains Medicaid eligibility for current resident.

March 16, 2016

CA—expanding to California, Schutjer Bogar uses a MAR and federal regulations to qualify current resident for Medicaid.

March 15, 2016

KY/DE—for nation’s largest Provider, Schutjer Bogar qualifies 3 current residents using multiple proprietary strategies.

March 14, 2016

MD—for new client, Schutjer Bogar uses federal regs to recover 69 months of retroactive Medicaid dollars in 5 months!

March 11, 2016

NM—after a long, contentious battle and numerous appeals, Schutjer Bogar qualifies current resident effective May ’15.

March 10, 2016

KY—for nation’s largest provider, Schutjer Bogar has facility appointed as resident’s MAR to qualify her for Medicaid.

March 09, 2016

AL—in a very significant win, Alabama appellate court judge agrees with Schutjer Bogar over the objects of the AG’s attorneys, stating that the denial of the resident’s application was “arbitrary and capricious."

March 08, 2016

OH—Schutjer Bogar uses federal regulations to qualify deceased resident for national provider.

March 07, 2016

KY—Schutjer Bogar and client use special circumstance waiver to qualify current resident for Medicaid!

March 04, 2016

SC—Schutjer Bogar qualifies another current resident for Medicaid, bringing the total to 27 for local provider since retaining the firm in late ‘15.

March 03, 2016

TN—in another first, Schutjer Bogar has client appointed as resident’s MAR, allowing them to take all actions to obtain Medicaid eligibility!

March 02, 2016

NM—Schutjer Bogar uses little known federal regulation to qualify resident for Medicaid back to her date of admission.

March 01, 2016

SC—Schutjer Bogar intervenes on behalf of local provider and qualifies 4 more residents for Medicaid, bringing the total to 35+ since being hired.

February 29, 2016

MI—for national provider, Schutjer Bogar convinces caseworker to obtain remaining verification to qualify resident for Medicaid.

February 26, 2016

TX—Schutjer Bogar brings on 5th new client of the year!

February 25, 2016

SC—Schutjer Bogar uses Spousal Right of Refusal to qualify current resident back to May of ’15.

February 24, 2016

KY—after filing a Federal Delay Action, Schutjer Bogar secures 5 approvals so far for client!

February 23, 2016

PA—secretary of DHS grants Schutjer Bogar’s petition to open up a case denied by the ALJ.

February 22, 2016

NM—Schutjer Bogar gets former resident approved for Medicaid WITHOUT having to submit all of the requisite verification.

February 19, 2016

KY—after qualifying current resident for Medicaid, Schutjer Bogar then obtains approval to OME several months of room & board not covered by Medicaid.

February 18, 2016

NY—Schutjer Bogar’s growth continues with the addition of 4th new client of ‘16.

February 17, 2016

KY—Schutjer Bogar uses Federal Civil Action to push state to schedule hearings for long pending Medicaid applications.

February 16, 2016

KY—Schutjer Bogar uses Undue Hardship Waivers (UHWs) to overcome penalty periods imposed on husband and wife residing in client’s Kentucky facility.

February 15, 2016

NC—Schutjer Bogar untimely appeals denial based on constitutional defects, and county agrees to open application with a retroactive date of Jan ’15.

February 12, 2016

DE—Schutjer Bogar intervenes on behalf of nation’s largest provider and uses petition to persuade resident’s spouse to pay an $88k outstanding balance owed to facility.

February 11, 2016

SC—Schutjer Bogar qualifies another resident for new client in South Carolina bringing the total to 25 since August ’15.

February 10, 2016

AL—after months of wrangling, Schutjer Bogar and AG’s office agree to open July ’15 application and approve it once the remaining verifications are submitted.

February 09, 2016

NJ—Schutjer Bogar qualifies current resident for Medicaid by helping client to improve relationship with the County and its caseworkers.

February 08, 2016

NY—after appealing to the New York Supreme Court and defeating the AG’s motion to dismiss, the court agrees with Schutjer Bogar and remands matter back to ALJ for a new hearing on “unavailability” of several real estate parcels!

February 05, 2016

WV—for nation’s largest provider, Schutjer Bogar uses federal precedent to open an old application and qualify current back to August ’14!

February 04, 2016

SC—using federal precedent, Schutjer Bogar intervenes in current resident’s Medicaid appeal and qualifies her back to Feb ’15.

February 03, 2016

OH—in another big win, Schutjer Bogar uses federal regs to successfully reduce resident’s Patient Liability to account for federal tax lien.

February 02, 2016

SC—for local provider with 4 facilities, Schutjer Bogar obtains 5 more approvals bring the total to 22!

February 01, 2016

SC—Schutjer Bogar obtains 21st Medicaid approved for client in South Carolina!

January 29, 2016

NJ—appellate Division Court denies AG’s attempt to dismiss 5 appeals filed by Schutjer Bogar where the board of review failed to grant ALJ hearings on appeal requests.

January 28, 2016

FL—Schutjer Bogar uses Orphan’s Court to force resident’s POA to complete the Medicaid application process!

January 27, 2016

OH—after going to federal court and working with resident’s counsel in state court, Schutjer Bogar qualifies current resident back to October of ’13!

January 26, 2016

Northeast—in a significant win for Schutjer Bogar and their clients throughout the country, Attorney General agrees that court ordered alimony payments cannot be included in a resident’s patient liability calculation!

January 25, 2016

TX—for local provider, Schutjer Bogar untimely appeals denial, opens application, and then overcomes 39 month penalty period!

January 22, 2016

OH—in another example that PL can be appealed and lowered using federal regulations, Schutjer Bogar appeals PL determination and wins!

January 21, 2016

AL—after having client appointed as the resident’s MAR, Schutjer Bogar quickly qualifies current resident for Medicaid using federal regulations.

January 20, 2016

NJ—Schutjer Bogar uses Due Process and Federal Preemption arguments to open Denial back to March ’15.

January 19, 2016

WA—for the nation’s largest provider, Schutjer Bogar convinces Probate Judge to grant the first ever MAR to qualify current resident for Medicaid.

January 18, 2016

NJ—Schutjer Bogar lands first new client of ’16; a third party fiscal agent operating throughout the Northeast.

January 15, 2016

PA—in a BIG win, Schutjer Bogar uses federal regulations to convince ALJ to shift burden of producing verification back to the County or agree that they are unavailable.

January 14, 2016

IN—for nation’s largest provider, Schutjer Bogar has facility appointed as the resident’s MAR to open old denial.

January 13, 2016

KY—Schutjer Bogar starts off a cold January morning with a win that not even the client thought was possible!

January 12, 2016

MD—after begrudgingly agreeing not to discharge a current resident based on the firm’s advice and optimism, Schutjer Bogar qualifies current resident back to March ’15!

January 11, 2016

SC—Schutjer Bogar qualifies 17th current resident for Medicaid in just a matter of months on behalf of local provider in South Carolina

January 08, 2016

OH—although Judge refused to grant Schutjer Bogar’s MAR, it’s all good because he appointed a Schutjer Bogar attorney as the resident’s guardian of her estate to qualify her for Medicaid.

January 07, 2016

AR—Schutjer Bogar intervenes in long pending Medicaid application for current resident, files appeal, and then works with Attorney General to qualify resident back to December ’14!

January 05, 2016

AL—for just the second time ever, on behalf of national provider, Schutjer Bogar has facility appointed as their resident’s MAR to take whatever actions necessary to qualify her for Medicaid.

January 04, 2016

NJ—Schutjer Bogar begins ’16 like it ended ’15 with a win: The firm has client appointed as the MAR for current resident and liquidates account with $80k in it!

January 01, 2016

SC—Schutjer Bogar ends ’15 with another approval for regional provider with Medicaid benefits for current resident starting April ’15!

December 31, 2015

NJ—Schutjer Bogar appeals untimely denial for Medicaid and qualifies resident all the way back to August ’14!

December 30, 2015

NM—for nation’s largest provider, Schutjer Bogar has facility appointed as a MAR, spends down 30k in excess resources on room & board and qualifies resident effective March ’15

December 30, 2015

NM—ALJ agrees with Schutjer Bogar and reopens current resident’s application for Medicaid because a MAR had not been appointed before the hearing on her appeal.

December 30, 2015

SC—Schutjer Bogar wins another Medicaid matter for new client, bringing the total to 14 in just about two months.

December 29, 2015

SC—for local provider, Schutjer Bogar intervenes in long pending Medicaid application and qualifies current resident effective February ’15.

December 28, 2015

TX—addressing a significant legal issue, Board of Review agrees with Schutjer Bogar and orders HHSC to reopen current resident’s application filed in ’13!

December 24, 2015

SC—Schutjer Bogar uses Inaction Appeal to qualify current resident for Medicaid effective March ’15 on behalf of single facility provider.

December 23, 2015

SC—for local provider with multiple facilities, Schutjer Bogar obtains the very first pure MAR in South Carolina history!

December 22, 2015

SC—Schutjer Bogar takes on large project for single facility provider and qualifies 18 of 26 pending Medicaid applications in just a few months!

December 21, 2015

NC—Schutjer Bogar and client team up to overcome excess resources and qualify current resident for Medicaid effective March ’15.

December 18, 2015

SC—using a variety of strategies, Schutjer Bogar gets 13 current residents approved for Medicaid in just a few months for multiple facility provider!

December 17, 2015

PA—after a long battle and several wins on appeal, Schutjer Bogar qualifies current resident for Medicaid effective March ’13!

December 16, 2015

South—Schutjer Bogar qualifies two more current residents under 31 case project for local provider!

December 14, 2015

Northeast—probate judge agrees with Schutjer Bogar and gives client the authority to appeal penalty period over vigorous objection from court appointed guardian.

December 11, 2015

NorthEast—Schutjer Bogar appeals resident’s Patient Pay Determination based on conversion and receives $29k from power of attorney!

December 09, 2015

Midwest—after qualifying residents for Medicaid using a proprietary form to “spend down” excess resources, Schutjer Bogar’s client receives 15k 6 months later!

December 08, 2015

Northeast— Schutjer Bogar uses proprietary strategy to force county to process and approve application filed in December ’13!

December 07, 2015

South—Schutjer Bogar uses proprietary form signed by resident to transfer over 20k in a checking account to the firm’s client and qualify the resident for Medicaid.

December 02, 2015

South Central—Schutjer Bogar takes on large project for nation’s largest provider and qualifies 6 current residents for Medicaid within weeks.

December 01, 2015

Southwest—for nation’s Largest provider, Schutjer Bogar intervenes and qualifies current resident effective November ’14!

November 30, 2015

South—Schtujer Bogar uses Orphan’s Court to force POA to qualify current resident for Medicaid effective Jan ’15.

November 28, 2015

Northwest—Schutjer Bogar uses Undue Hardship Waiver to reduce penalty period for transfer for less than fair consideration on behalf of regional provider.

November 27, 2015

Northeast—for regional fiscal agent with 60 skilled facilities, Schutjer Bogar relies on Prejudicial Delay Doctrine to open and then qualify former resident effective November ’13.

November 25, 2015

South—for nation’s largest religiously affiliated provider, Schutjer Bogar has facility appointed as MAR giving them broad authority to qualify resident for Medicaid.

November 24, 2015

Northeast—Schutjer Bogar uses Federal Action to secure 2 more Medicaid approvals for regional provider, bringing the total to 8 so far!

November 23, 2015

Northeast—Schutjer Bogar convinces ALJ to open a denial issued in ’14 and not timely appealed, thereby allowing client to qualify deceased resident for Medicaid.

November 20, 2015

South Central—nation’s largest provider sees first Medicaid approval after sending large project to Schutjer Bogar just weeks before!

November 20, 2015

Mid-Atlantic— Schutjer Bogar uses CMS complaint on behalf of several clients for force state to start using the Asset Verification System as mandated by congress to help residents during qualification process.

November 19, 2015

Midwest—In a significant win, Schutjer Bogar uses trip to Federal Court to get state to adopt for the first time, a community spouse’s federally protected right to refuse to produce verification thereby resulting in Medicaid eligibility effective Jan ’15.

November 18, 2015

Northeast—for new client under the firm’s monthly project fee billing platform, Schutjer Bogar qualifies two current residents for Medicaid.

November 13, 2015

Northeast—for single facility provider, Schutjer Bogar challenges penalty period and gets it reduced 15 months!

November 12, 2015

SouthCentral—Schutjer Bogar intervenes on behalf of national provider and obtains full retroactive Medicaid benefits and approval to OME remaining balance for current resident.

November 11, 2015

Mid Atlantic—in a significant win, ALJ adopts Spousal Right of Refusal Doctrine to cover the failure to timely spend down and directs county to qualify current resident back to March ’14!

November 10, 2015

Northeast-after a nearly 3 year absence, former client returns to Schutjer Bogar!

November 10, 2015

South—for new national client, Schutjer Bogar takes on 100k test case and immediately qualifies resident for Medicaid effective March ’15 and appeals defective denials.

November 06, 2015

South—using the Doctrine of Federal Preemption, Schutjer Bogar qualifies 5 current residents for Medicaid in just 1 week for new client!

November 06, 2015

South—Schutjer Bogar uses an Inaction Appeal to qualify current resident back to April ’15.

November 05, 2015

Mid Atlantic—Schutjer Bogar uses Undue Hardship Waiver to overcome $38k penalty period on behalf of regional provider.

November 04, 2015

Mid Atlantic—after getting case reopened, Schutjer Bogar uses little known regulation to qualify resident for Medicaid without having to spend down excess resources until a guardian has been appointed.

November 03, 2015

Northeast—for national fiscal agent, Schutjer Bogar wins appeal of denial for missing verification and qualifies current resident for Medicaid back to April ’14!

November 02, 2015

Northeast—based on Schutjer Bogar’s arguments, ALJ tells caseworker that he “expects” her to reopen application with a ’14 effective date after discussing with AG!

October 30, 2015

Northeast—citing federal regulations, Schutjer Bogar gets county to reopen application and extend deadline to produce missing verifications after client couldn’t timely produce documents.

October 30, 2015

Northeast—Schutjer Bogar uses Federal Action to open 12 previously denied applications for Medicaid!

October 29, 2015

Northeast—Schutjer Bogar uses Federal Delay Action to obtain approval for long pending application for Medicaid on behalf of current resident.

October 28, 2015

South—Schutjer Bogar starts Federal Delay Action project and gets to two immediate approvals each retro’ing back to October 14!

October 23, 2015

South Central—Schutjer Bogar and State Attorney General settle Medicaid appeal, resulting in substantial retroactivity for current resident.

October 23, 2015

Northeast—Schutjer Bogar uses Federal Delay Action to score 4 Medicaid approvals, resulting in 200k of retroactive revenue, for regional provider!

October 22, 2015

Mid Atlantic/South—on behalf of several clients, Schutjer Bogar uses Federal Actions to push state to implement new policies to protect the rights of providers and their residents!

October 21, 2015

Schutjer Bogar reaches goal 2.5 months early and lands 50th new client since ’14!!!

October 15, 2015

South Central—AG settles Schutjer Bogar’s trial court appeal based on violations of Federal Regulations and agrees to qualify current resident effective April ’14.

October 14, 2015

Northeast—for regional assisted living provider, Schutjer Bogar uses note and mortgage to obtain $45k payment!

October 13, 2015

South—Schutjer Bogar unwinds substantial penalty period and qualifies current resident for Medicaid effective July ’14.

October 12, 2015

West—Schutjer Bogar uses a MAR for regional provider to force current resident’s family to liquidate real property to pay substantial outstanding balance.

October 11, 2015

Northeast—following a recent Federal Court decision, state appellate court agrees that an assignment provision of Medicaid benefits allows providers to appeal denials without a DAR.

October 09, 2015

Northeast—in a significant change, Secretary of DHHS grants Schutjer Bogar’s request for reconsideration based on ALJ’s conscious refusal to afford resident due process.

October 07, 2015

South—After Schutjer Bogar has a MAR appointed, they team up with national client to qualify current resident for Medicaid effective August ’14.

October 07, 2015

Northeast—Schutjer Bogar gets large assisted living provider 40k by getting current skilled facility to OME/IME unpaid room & board!

October 07, 2015

South—Federal Judge denies AG’s attempt to dismiss Schutjer Bogar’s Federal Action illuminating state’s violations of the Federal Regs governing Medicaid Eligibility.

October 06, 2015

Midwest—Over bank’s objections, Schutjer Bogar uses MAR to liquidate deceased resident’s checking account to obtain Medicaid eligibility.

October 01, 2015

Northeast—in record setting time, court grants Schutjer Bogar’s MAR petition in 7 days!

September 30, 2015

Midwest—Schutjer Bogar and nation’s largest nonprofit provider team up to have facility appointed as resident’s MAR and then qualified for Medicaid effective September ’14.

September 29, 2015

Northeast—Schutjer Bogar convinces Attorney General’s Medicaid Fraud Unit to prosecute resident’s son for theft in support of Undue Hardship Waiver.

September 29, 2015

Southeast—After months of pushing DHHS to timely process appeals for scores of residents on behalf of several providers, the state has tentatively agreed to grant interim benefits for all of them!

September 25, 2015

South Central—in a significant win, hearing board overrules ALJ and finds that a DAR/MAR survives the death of an applicant for Medicaid!

September 24, 2015

Southeast—Schutjer Bogar and national fiscal agent for 100+ facilities team up to qualify deceased resident for Medicaid effective Jan ’14.

September 23, 2015

Southeast—Schutjer Bogar uses Inaction Appeal to qualify resident for Medicaid effective Jan ’15.

September 23, 2015

South—for national provider, Schutjer Bogar files untimely appeal, convinces ALJ to open denial, and qualifies current resident effective November ’14!

September 18, 2015

South Central—Schutjer Bogar uses the prospect of Inaction Appeal to qualify current resident for Medicaid effective January ’15 on behalf of regional provider.

September 17, 2015

49th New Client! Schutjer Bogar partners with one of the most preeminent nonprofit providers to assist with their Medicaid eligibility cases.

September 16, 2015

Midwest—for nation’s largest nonprofit provider, the court agrees with Schutjer Bogar and gives client authority to qualify resident for Medicaid.

September 16, 2015

Southeast—Schutjer Bogar obtains permission from Orphan’s Court to allow client to create QIT for incapacitated resident and qualify her for Medicaid.

September 15, 2015

Southeast—for one of the largest national providers, Schutjer Bogar uses little known policy to open old denial and qualify current resident effective December ’13!

September 14, 2015

Southeast—Schutjer Bogar continues their remarkable expansion with the addition of another new client with several facilities in South Carolina.

September 12, 2015

Southeast—Schutjer Bogar appeals retroactive period of Medicaid application and wins. Benefits effective December ’13!

September 11, 2015

Northeast—ALJ agrees that denial was “legally insufficient” and remands case back to caseworker to redetermine resident’s application for Medicaid.

September 11, 2015

Central South—after filing inaction appeal, case worker works with Schutjer Bogar and agrees to qualify resident for Medicaid effective March ’14.

September 10, 2015

South—during ALJ hearing, the county agrees with Schutjer Bogar and grants retroactive Medicaid benefits back to June ’14.

September 09, 2015

Northeast—Schutjer Bogar successfully appeals County’s patient liability calculation which failed to offset resident’s court ordered child support payments.

September 09, 2015

Central South—Schutjer Bogar intervenes in denied application for Medicaid, works with caseworker and qualifies current resident effective March ’14.

September 03, 2015

Northeast—Schutjer Bogar uses an Undue Hardship Waiver (UHW) to reduce substantial penalty period 200k!

September 02, 2015

Northeast—citing the changes that Schutjer Bogar has implemented over the last 2 years, former client returns!

September 01, 2015

Southeast—judge grants Schutjer Bogar’s MAR and gives client the authority to create QIT to qualify resident for Medicaid.

September 01, 2015

Schutjer Bogar ends August with a new client operating nearly 50 facilities through the country!

August 31, 2015

Midwest—for nation’s largest non profit provider, Schutjer Bogar has MARs appointed to qualify two orphaned residents for Medicaid.

August 30, 2015

Central South—Schutjer Bogar uses federal regulations to qualify current resident effective March ’14.

August 29, 2015

Midwest—Over the objection of a resident’s power of attorney, judge grants Schutjer Bogar’s petition to have a MAR appointed to qualify current resident for Medicaid.

August 28, 2015

Northeast—Schutjer Bogar convinces state Supreme Court to deny Attorney General’s motion to dismiss client’s appeal of Medicaid denial!

August 27, 2015

Northeast—secretary of DHS agrees with Schutjer Bogar that ALJ mistakenly dismissed client’s appeal, thereby remanding the appeal back to case worker for reconsideration.

August 26, 2015

Southeast—For nation’s largest provider, Schutjer Bogar steps in to handle a very difficult case and convinces ALJ to grant current resident’s application for Medicaid effective August ’14.

August 25, 2015

Southwest—Schutjer Bogar intervenes for national provider and qualifies current resident for Medicaid effective March ’15.

August 25, 2015

Southeast—for new client, Schutjer Bogar uses Delay Action to obtain eight Medicaid approvals in just a matter of weeks!

August 21, 2015

Southwest—For nation’s largest provider, Schutjer Bogar opens old denial using federal regulations!

August 20, 2015

Northeast—Schutjer Bogar makes client’s day with 350k Medicaid eligibility win!

August 19, 2015

Northeast—Schutjer Bogar uses Federal Regs to persuade Probate Judge to grant Emergency MAR, so nation’s largest provide can continue with deceased resident’s appeal.

August 17, 2015

Southern Midwest—in another HUGE win, ALJ agrees with Schutjer Bogar and opens denial dating back to September ’12!!!

August 17, 2015

Northeast—In significant win, ALJ agrees with Schutjer Bogar over objections from state’s attorney and remands application filed in August ‘14 back to case worker for reconsideration.

August 16, 2015

Schutjer Bogar brings on 45 new clients since 2014!

August 14, 2015

Southeast—for national fiscal agent, probate judge grants Schutjer Bogar’s MAR and also agrees to sign QIT for orphaned resident!

August 14, 2015

Northeast—Schutjer Bogar uses Undue Hardship Waiver to persuade resident’s family to return funds that caused a significant penalty period.

August 14, 2015

Schutjer Bogar continues their unprecedented growth with national hospice provider becoming the firm's newest client!

August 13, 2015

Central Southwest—for regional client Schutjer Bogar uses Federal Delay Action to qualify current resident for Medicaid effective September ’14.

August 13, 2015

Mid Atlantic—Probate court agrees with Schutjer Bogar and appoints MAR to create burial reserve, etc., to qualify orphaned resident for Medicaid.

August 12, 2015

Mid Atlantic—Schutjer Bogar just had the third MAR ever appointed in this state to qualify orphaned resident for Medicaid.

August 11, 2015

Southeast—Schutjer Bogar uses new strategy to fix QIT that wasn’t correctly set up and qualifies resident effective September ’14!

August 11, 2015

Rocky Mountain—For returning client, Schutjer Bogar uses MAR to prompt resident’s Trust to pay all outstanding room & board charges.

August 10, 2015

North Midwest—Schutjer Bogar uses new legal strategy to qualify current resident with excess resources for Medicaid.

August 07, 2015

Northeast—Schutjer Bogar relies on Federal Preemption Doctrine to convince ALJ that the county breached their obligations and resident’s application for Medicaid should be granted effective May ’14.

August 06, 2015

North Central—Schutjer Bogar intervenes on behalf of national provider to qualify current resident for Medicaid and obtain a $30k spend down on room & board.

August 05, 2015

North Central—for nation’s largest nonprofit provider, Schutjer Bogar intervenes in complicated Medicaid application for current resident and gets her POA to spend down $25k on room & board.

August 05, 2015

South Central— on behalf of national provider, Schutjer Bogar intervenes weeks before a hearing and qualifies orphaned resident for Medicaid effective March ’15.

August 04, 2015

Mid Atlantic—Schutjer Bogar intervenes just weeks ago on behalf of local provider and qualifies current resident back to Sept ’14!

August 04, 2015

Mid Atlantic—the day before an ALJ hearing on regional client’s appeal, Schutjer Bogar and caseworker settle dispute and qualify resident back to Dec ’14.

August 03, 2015

Northeast—new client refers matter two days before appeal hearing and Schutjer Bogar wins it!

July 31, 2015

Northeast—Schutjer Bogar has just the second MAR ever approved by Probate Judge in this state to appeal a denied application for Medicaid.

July 31, 2015

Mid-Atlantic—Schutjer Bogar and client team up to obtain additional Medicaid retroactivity (Jan ’14) for current resident.

July 30, 2015

Northeast—Schutjer Bogar’s client diversification project continues to move along steadily with 44th new client since ’14.

July 28, 2015

Mid-Atlantic—Schutjer Bogar has the first pure MAR ever approved by state court.

July 27, 2015

Southeast—for nation’s largest provider, Schutjer Bogar uses pending MAR to convince caseworker to approve former resident’s application for Medicaid.

July 24, 2015

Southeast—for new client, Schutjer Bogar obtains several approvals resulting in $105k in immediate cash flow!

July 24, 2015

Central South—Schutjer Bogar paves the way to reinstating current resident’s Medicaid benefits by opening up a decertification issued in June ’14.

July 24, 2015

Mid Atlantic—for the first time, probate court grants Schutjer Bogar’s petition for a pure MAR to qualify current resident for Medicaid.

July 22, 2015

Northeast—judge appoints the first MAR ever in this state thereby allowing the facility to qualify a resident for Medicaid!

July 22, 2015

Northeast—on behalf of a home health care provider, Schutjer Bogar files appeal with the state appellate court challenging department’s deeming of resources. AG agrees to qualify recipient effective Jan ’14.

July 22, 2015

Northeast—with Schutjer Bogar's help, a regional provider becomes the first skilled nursing facility ever to OME/IME in their home state!

July 21, 2015

PA—Schutjer Bogar secures second new client in one week!

July 17, 2015

PA—Schutjer Bogar has a MAR appointed to spend down excess resources to qualify former resident for Medicaid on behalf of national fiscal agent.

July 17, 2015

NC—Schutjer Bogar lands their 42nd new client since 2014!

July 16, 2015

KS—for national provider, ALJ agrees with Schutjer Bogar and denies county’s motion to dismiss appeal because it was allegedly filed untimely.

July 16, 2015

NC—for national provider, Schutjer Bogar convinces ALJ to order county to open denial of current resident’s Medicaid application because the denial was defective.

July 16, 2015

Another first! On behalf of a large home health care provider, Schutjer Bogar uses federal regulations to push MCO to pay claims going back to 2012 that were denied for untimeliness!

July 2015

ND—after the Supreme Court ruled in Schutjer Bogar’s favor on behalf of the nation’s largest nonprofit provider, ALJ denies all pending motions to dismiss filed by the AG based on alleged lack of standing!

July 15, 2015

MD—in a significant victory for a single site provider, Schutjer Bogar persuades the state trial court Judge to deny AG’s motion to dismiss appeal for alleged lack of standing.

July 15, 2015

AR— for regional provider, Schutjer Bogar uses Federal Delay Action to qualify a current resident effective March ’14.

July 14, 2015

KY—for national provider, Schutjer Bogar uses petition to compel compliance with an ALJ Order to force county to reimburse client for current resident’s eligibility.

July 14, 2015

AR—probate Judge grants the first MAR ever to be filed in Arkansas by Schutjer Bogar for regional client.

July 13, 2015

PA—Schutjer Bogar convinces ALJ to overturn denial and order county to perform a new medical assessment due to the initial assessment having not been performed by a medical professional.

July 10, 2015

OH—in another first, Schutjer Bogar uses federal regulations to reduce resident’s PL obligation because of garnishment.

July 09, 2015

OH—Schutjer Bogar uses Federal Preemption Doctrine to open denial 6 months after it was issued!

July 08, 2015

OH—Schutjer Bogar wins an ALJ appeal in which the county was attempting to restrict Medicaid retroactivity by applying a new internal policy regarding the change of ownerships of life insurance policies.

July 07, 2015

TX—on behalf of national provider, Schutjer Bogar uses a MAR to push resident’s children to qualify her for Medicaid and spend down excess resources on room & board.

July 06, 2015

PA—Schutjer Bogar’s newest associate secures first big win by overcoming an untimely appeal and convincing ALJ that county’s community spouse resource assessment was incorrect!

July 03, 2015

KY—after overcoming an untimely appeal, Schutjer Bogar qualifies current resident effective March ’15 and obtains approval to OME remaining room & board costs.

July 02, 2015

MD—Schutjer Bogar and client team up to qualify current resident for Medicaid effective April ’14!

July 02, 2015

PA—new client! A religious affiliated CCRC located in Pittsburgh, hires Schutjer Bogar to pursue Federal Action!

July 01, 2015

OH—in another first and significant win for all providers, Schutjer Bogar uses “bad guardian” argument to open resident’s denied application for Medicaid!

July 01, 2015

OH—Schutjer Bogar’s campaign to diversity their client base continues with a new client operating 30 facilities in Ohio and Pennsylvania.

June 30, 2015

SC—Schutjer Bogar lands another new client with facilities in South Carolina and Texas to handle 24 case project on a monthly fixed fee.

June 30, 2015

Additional evidence that we don’t just practice law, we create it. Schutjer Bogar uses the Doctrine of Federal Preemption to push two states to allow the firm’s clients to OME in their states for the FIRST time ever!

June 29, 2015

Another FIRST! Southern state agrees that because of the Federal Preemption Doctrine, Schutjer Bogar’s client must be allowed to OME several residents’ past due room & board.

June 29, 2015

FL—relying on a little known policy, Schutjer Bogar files untimely appeal, opens up denial, and qualifies current resident for Medicaid effective Aug '14.

June 25, 2015

FL—happy to see an alternative to guardianships, a Florida judge grants Schutjer Bogar’s petition for a MAR to qualify resident for Medicaid by liquidating and spending down assets.

June 24, 2015

KY—by relying on federal regs, Schutjer Bogar convinces caseworker during pre-hearing conference to open Medicaid denial 8 months after it was issued!

June 23, 2015

NM—In another substantial win (and first) for all providers in New Mexico, Schutjer Bogar convinces Attorney General’s office to allow the firm’s largest nonprofit client to OME.

June 23, 2015

MD—Schutjer Bogar uses the Medicaid Eligibility process to recover $49k from deceased resident's estate.

June 23, 2015

NJ—Schutjer Bogar opens denial and qualifies deceased resident back to Sept ’13!

June 22, 2015

NM—for nation’s largest nonprofit provider, Judge appoints MAR to liquidate and spend down assets to qualify deceased resident for Medicaid.

June 19, 2015

SC—after attending Schutjer Bogar’s Medicaid presentation at the South Carolina ACHCA conference, a single provider retains the firm to help with a significant project concerning delayed applications.

June 18, 2015

OH—in another first, and a significant victory for all of our clients, Schutjer Bogar convinces The Ohio Court of Common Pleas that DARs/MARs survive the death of the resident.

June 18, 2015

SC—client that immediately retained Schutjer Bogar, after the seeing the firm’s May 15th presentation on Medicaid Eligibility at the South Carolina ACHCA conference, sees its first Medicaid approval with an effective date of Jan ’14!

June 17, 2015

AL—for nation’s largest provider, Schutjer Bogar obtains approval from state to OME/IME balance owed by current resident.

June 16, 2015

Schutjer Bogar continues growth with new client operating facilities in Maryland and New Hampshire!

June 12, 2015

Following a hearing before an ALJ, the CAO cedes the next morning that an applicant for Medicaid can: withdraw a prior application, wait until a penalty period expires, refile an application and thereby avoid the entire 44 month penalty period.

June 11, 2015

AZ—on behalf of nation’s largest nonprofit provider, Schutjer Bogar intervenes in resident’s Medicaid application, removes various assets from trust, and qualifies resident effective Jan ’15.

June 10, 2015

TX—Schutjer Bogar lands new client with several skilled facilities in Texas!

June 08, 2015

PA—after nearly two years and numerous appeals to spend down excess resources, Schutjer Bogar qualifies current resident for Medicaid, recovering $250k for client!

June 05, 2015

AR—Schutjer Bogar scores big win for returning client when AG settles appeal of verbal denial and grants resident’s Medicaid application with full retroactivity.

June 05, 2015

Schutjer Bogar continues expansion by taking on Maryland hospital as their newest client!

June 04, 2015

NM—in a very difficult penalty period case, Schutjer Bogar has a MAR appointed to spend down excess resources for deceased resident and qualify her estate for Medicaid.

June 03, 2015

OH—for regional provider, Schutjer Bogar resolves delayed Medicaid claim submission for services rendered in June ’13 and scores a win for client!

June 02, 2015

SD—for nation’s largest nonprofit provider, Schutjer Bogar uses a civil action to hold former resident’s agent responsible for failing to qualify the resident for Medicaid and reaches settlement agreement for $32k.

June 01, 2015

MD—Schutjer Bogar and DHHS work together to get local client much needed Medicaid dollars for Notice of Eligibility issued months ago.

June 01, 2015

PA—Schutjer Bogar intervenes on behalf of regional provider and qualifies resident for Medicaid effective June ’14!

May 29, 2015

OH—for a national provider, and the very first time in Ohio, Schutjer Bogar convinces Judge to grant petition for a MAR without any conditions so provider can qualify resident for Medicaid.

May 28, 2015

NJ—after two appeals and overcoming opposition from the Attorney General’s Office, Schutjer Bogar opens denial of application for Medicaid filed in June ’13!

May 27, 2015

SC—within days after speaking at ACHCA’s annual conference in South Carolina, Schutjer Bogar lands 35th new client since Jan ’14!

May 25, 2015

NM—for nation’s largest nonprofit provider, Schutjer Bogar has a MAR appointed to qualify current resident Medicaid.

May 22, 2015

OH—in a precedent setting case with significant ramifications, Schutjer Bogar convinces ALJ that the caseworker’s failure to run an AV search to obtain outstanding verifications before requesting assistance from the applicant was an administrative error.

May 21, 2015

OH—for one of the nation’s largest nonprofit providers with 190+ facilities, Schutjer Bogar not only qualifies resident for Medicaid, but then obtains $57k after resident spends down excess resources.

May 20, 2015

TX—Schutjer Bogar has a guardian appointed and then qualifies current resident for Medicaid effective Dec ’14.

May 19, 2015

PA—for small religious affiliated provider, Schutjer Bogar has a MAR appointed to liquidate and spend down stock proceeds to qualify former resident for Medicaid.

May 18, 2015

PA—Schutjer Bogar uses MAR to persuade responsible party of deceased resident to spend down $35k on room & board to qualify former resident for Medicaid.

May 15, 2015

MD—Schutjer Bogar is retained by a small group of religious affiliated providers in the Baltimore area to handle their Medicaid eligibility issues!

May 14, 2015

PA—for western PA provider with over 15 facilities, Judge grants MAR allowing facility to qualify longtime resident for Medicaid.

May 14, 2015

FL—Schutjer Bogar uses a new and little known rule to open up an old denial of current resident’s application for Medicaid with an effective date of Oct ’13.

May 12, 2015

PA—Schutjer Bogar appeals to the Commonwealth Court, challenging deeming of assets and community spouse resource issue. In response, DHS issues notice of approval effective July ’13!

May 11, 2015

PA—ALJ rules in favor of Schutjer Bogar by rejecting the County’s argument that a current resident had abandoned his home, and awards Medicaid eligibility effective July ’14.

May 09, 2015

FL—for national provider, Schutjer Bogar convinces ALJ to open untimely appeal and send matter back to caseworker to reevaluate denial.

May 08, 2015

ND—for nation’s largest nonprofit provider, Schutjer Bogar intervenes and helps resident’s family qualify current resident for Medicaid beginning Sept ’14.

May 08, 2015

NJ—for regional provider, Schutjer Bogar jumps in on appeal at the last minute and qualifies current resident for Medicaid effective Nov ’14.

May 04, 2015

NM—after a long and arduous battle, Schutjer Bogar and the department settle all pending appeals, qualifying current resident for Medicaid effective Nov '13 on behalf of nation's largest nonprofit provider.

May 01, 2015

ND—Schutjer Bogar obtains one of the biggest wins in the firm’s history! The North Dakota Supreme Court issued an opinion confirming that federal law preempts state law and allows for providers to be their residents' authorized Medicaid representatives!

April 28, 2015

MO—for national client, Schutjer Bogar uses creative strategy to get family of deceased resident to spend down $45k on room & board to qualify resident for Medicaid.

April 27, 2015

OH—after extensive efforts and persuading an ALJ to open a denial, Schutjer Bogar qualifies current resident for Medicaid effective Feb ’14!

April 24, 2015

MD—Schutjer Bogar lands 33rd new client since January ’14!

April 24, 2015

KY—for regional provider, Schutjer Bogar has MAR appointed to qualify current resident for Medicaid benefits.

April 23, 2015

PA—ALJ agrees with Schutjer Bogar and grants petition for interim benefits based on ALJ’s failure to timely adjudicate resident’s appeal of denial of Medicaid application.

April 22, 2015

MD—Schutjer Bogar convinces ALJ to open up denial of resident’s application for Medicaid and require caseworker to allow resident more time to produce outstanding verifications.

April 21, 2015

NM—Schutjer Bogar successfully convinces Attorney General to exempt current resident’s complicated Income Deviation Trust and qualifies her for Medicaid beginning July ’14.

April 17, 2015

OH—Ohio probate judge praises Schutjer Bogar for creation of MARs to qualify residents for Medicaid instead of pursuing the appointment of guardians.

April 16, 2015

MD—in another first, Schutjer Bogar has MAR appointed in Maryland to qualify current resident for Medicaid.

April 16, 2015

TX—after extensive efforts, Schutjer Bogar uses creative litigation strategy to persuade family to spend down excess resources and qualify deceased resident for Medicaid.

April 15, 2015

After seeing Schutjer Bogar’s national Medicaid presentation for ACHCA, within just 24 hours a Rhode Island provider with 12 facilities retains the firm!

April 13, 2015

PA—for regional provider, Secretary of the Department of Health grants Schutjer Bogar’s petition for remand based on numerous Due Process violations committed by ALJ and caseworker.

April 13, 2015

Additional firsts! Schutjer Bogar has MARs appointed for the first time ever to help qualify residents for Medicaid in Ohio and Alabama.

April 10, 2015

TX—Schutjer Bogar scrambles at the last minute to keep current resident qualified for Medicaid after caseworker demands that client immediately produce additional verification.

April 09, 2015

FL—for national client, Schutjer Bogar uses inaction appeal to qualify current resident for Medicaid effective Nov ’14.

April 09, 2015

NJ— in major win, Schujter Bogar and caseworker team up and agree to rescind June '14 denial and qualify current resident for Medicaid effective Dec '13.

April 06, 2015

AL— for nation's largest provider, Schutjer Bogar takes on extremely difficult case and qualifies current resident for Medicaid effective Oct '14.

April 03, 2015

AL— after Schutjer Bogar filed a MAR, caseworker grants conditional approval of deceased resident’s pending application for Medicaid on be behalf of national provider.

April 01, 2015

NY—for national provider, Schutjer Bogar uses constitutional arguments to qualify current resident for Medicaid effective March ’14.

March 31, 2015

PA—Schutjer Bogar relies on Due Process Clause and federal regulations to qualify current resident effective July ’14.

March 30, 2015

AL—after overcoming numerous obstacles, Schutjer Bogar qualifies current resident on behalf of nation's largest provider effective Feb '15.

March 27, 2015

SC—Schutjer Bogar uses federal civil action to qualify resident for Medicaid effective Nov ’13. (Schutjer Bogar filed the appeal nearly a 1 year after the denial was issued.)

March 27, 2015

PA—Schutjer Bogar has MAR appointed after resident’s guardian resigns and opens decertification of Medicaid benefits issued in May ’14.

March 26, 2015

AR—former client with dozens of homes in Arkansas returns to Schutjer Bogar!

March 26, 2015

TX—new client retains Schutjer Bogar to rework admission agreement and polices.

March 25, 2015

AL—Schutjer Bogar uses unavailability arguments to convince ALJ to grant deceased resident’s application for Medicaid effective May ’14.

March 24, 2015

PA—Secretary of the Department of Human Services grants Schutjer Bogar’s Petition for reconsideration of ALJ decision denying Medicaid benefits.

March 24, 2015

SC—in another first, and with a few modifications, South Carolina Court agrees to appoint a MAR for deceased resident to complete Medicaid application.

March 24, 2015

NJ—another big win in New Jersey! Schutjer Bogar relies on several federal regulations to convince caseworker to wipe out $214k penalty period!

March 20, 2015

KY—ALJ agrees with our Due Process arguments and directs caseworker to approve former resident’s application for Medicaid effective Dec ’13.

March 20, 2015

NM—Schutjer Bogar gets second MAR ever appointed in New Mexico to qualify incapacitated resident for Medicaid.

March 19, 2015

MD—Schutjer Bogar uses appeal premised on several Due Process violations to qualify current resident for Medicaid from Oct ’14 to Sept ’15.

March 18, 2015

PA—for western Pennsylvania provider, Schutjer Bogar uses MARs to qualify TWO residents for Medicaid, with benefits beginning July ’14 and November ’14.

March 17, 2015

PA—Schutjer Bogar and county settle appeal at hearing before ALJ, resulting in current resident being approved for Medicaid beginning July ’14.

March 16, 2015

KY—in another first, Schutjer Bogar has a MAR appointed to complete the Medicaid application process for a deceased resident on behalf of national provider.

March 13, 2015

NM—for the first time ever in New Mexico, Schutjer Bogar has a MAR appointed to qualify current resident for Medicaid on behalf of nation’s largest nonprofit provider.

March 13, 2015

OH—Schutjer Bogar relies on Federal Regulation to overcome state policy to obtain $33k additional retroactive Medicaid benefits.

March 12, 2015

FL—for nation’s largest for profit provider, Schutjer Bogar has a MAR appointed to qualify current resident for Medicaid effective Oct ’14.

March 11, 2015

NM—Schutjer Bogar qualifies resident for Medicaid effective December ’14 after getting family to spend down $36k at facility.

March 10, 2015

PA—Schutjer Bogar intervenes in community spouse allowance appeal and qualifies current resident for Medicaid effective March ’14.

March 09, 2015

PA—Schutjer Bogar wins a case of first impression and recovers $41k for national client. Without any regulatory authority, DHS attempted to apply prospectively partial returned funds making up penalty period.

March 06, 2015

KY—for one of the nation’s largest providers, Schutjer Bogar persuades Probate Court to grant the first ever petition for the appointment of a MAR in Kentucky!

March 04, 2015

OH—for one of the nation’s largest providers, Schutjer Bogar obtains $40k judgment from Trial Court because of family’s failure to qualify resident for Medicaid.

March 04, 2015

PA—for national client, Schutjer Bogar settles Commonwealth Court appeal with DHS and reduces substantial penalty period by $66k!

March 04, 2015

NJ—in a case that was thought un-winnable by even our client Future Care, Schutjer Bogar uses due process arguments to reach a settlement with the county during an appeal hearing. Medicaid benefits retroactive to OCTOBER ’12!

February 27, 2015

KY—Schutjer Bogar uses new argument to win appeal and qualify former resident whose application for Medicaid had been pending since 2012!

February 27, 2015

PA— after a petition to appoint a guardian pends for months, Schutjer Bogar convinces court to appoint a MAR to complete resident’s application for Medicaid in just two weeks!

February 26, 2015

NE—Schutjer Bogar convinces ALJ to order caseworker to reconsider substantial penalty period imposed for alleged transfers for Medicaid planning purposes.

February 25, 2015

OH—for regional provider with 40 facilities, Schutjer Bogar appeals denial and persuades caseworker to exempt community spouse’s pension benefits to qualify resident for Medicaid back to Jan ’14

February 25, 2015

Schutjer Bogar continues expansion with new client operating 16 facilities from Ohio to West Virginia!

February 25, 2015

In a first of its kind, and one of our biggest wins EVER, ALJ rules that southern state must allow providers to OME/IME if a doctor’s order is attached to each request!

February 20, 2015

AZ—Schutjer Bogar continues its 2014 client diversification initiative by adding new client with 5 facilities.

February 18, 2015

The ’14 numbers are in! For one of the nation’s largest providers, Schutjer Bogar recovers over $700k in Medicaid Revenue for $33k!

February 18, 2015

KS—for nation’s largest nonprofit provider, Schutjer Bogar stops insurance company from recouping $50k for payments allegedly made in error for insured former resident.

February 18, 2015

KY—for national client, Schutjer Bogar argues prejudicial delay to convince ALJ to order county to re-determine current resident’s Medicaid application, opening the door for 13 months of retroactive benefits.

February 13, 2015

SC—Schutjer Bogar lands another new client operating three facilities in the South.

February 13, 2015

OH—for brand new client Schutjer Bogar successfully obtains 365 day billing exception recovering $40k.

February 12, 2015

PA—for regional provider, Schutjer Bogar convinces caseworker to grant Petition for Undue Hardship Waiver granting benefits back to Sept ’13.

February 10, 2015

Another former client, with facilities from Iowa to Pennsylvania, returns after citing Schutjer Bogar’s exponentially reduced fees and increased efficiency.

February 10, 2015

IA—Schutjer Bogar recovers an additional $67k from former resident’s estate on behalf of nation’s largest nonprofit provider.

February 06, 2015

CO—for nation’s largest nonprofit provider, Schutjer Bogar relies on Federal Preemption Doctrine to qualify current resident for Medicaid whose application had been pending since Nov ’13!

February 06, 2015

TN—the ’14 numbers are in, and Schutjer Bogar recovered $1.2 million in retroactive and prospective Medicaid benefits for less than $80k on behalf of national client with 50+ facilities!

February 04, 2015

IN—for nation’s largest provider, Schutjer Bogar uses federal regulations and a MAR to obtain interim Medicaid benefits for current resident effective Sept ’14.

February 03, 2015

FL—Schutjer Bogar has a MAR appointed on behalf of the nation’s largest provider to qualify a resident for Medicaid.

January 30, 2015

NC—for national client, Schutjer Bogar uses federal regulations to overcome substantial penalty period and re-qualifies current resident for Medicaid!

January 30, 2015

MD—Schutjer Bogar uses Delay Action and lobbying to qualify current resident for Medicaid resulting in nearly $100k payment to facility.

January 29, 2015

OH—former client operating approximately 20 skilled nursing facilities returns to Schutjer Bogar!

January 28, 2015

MD—for new client, Schutjer Bogar relies on federal regulations to qualify current resident for Medicaid effective July ’14.

January 28, 2015

ALERT! Florida Supreme Court rules that helping to qualify your residents for Medicaid without a lawyer is the Unauthorized Practice of Law.

January 26, 2015

MO—for national client with 100+ facilities, case worker approves Schutjer Bogar’s petition to OME/IME outstanding balance not covered by resident’s Medicaid approval.

January 23, 2015

PA—another Jurisdiction approves Schutjer Bogar’s use of MAR’s to qualify residents for Medicaid.

January 22, 2015

TX—for national provider with 200 facilities, Schutjer Bogar settles appeal and qualifies current resident for Medicaid effective Jan ’14.

January 22, 2015

FL—for nation¹s largest provider, Schutjer Bogar has MAR appointed and qualifies current resident for Medicaid effective Dec '14.

January 22, 2015

OH—Schutjer Bogar appeals retroactivity period and wins. ALJ approves benefits from November ’13 to April ’14.

January 22, 2015

OH—Schutjer Bogar assists client with qualifying current resident for Medicaid effective October ’14.

January 22, 2015

NY--Supreme Court of New York agrees with Schutjer Bogar and orders power of attorney to perform accounting and turn over assets to qualify resident for Medicaid.

January 20, 2015

OH--Schutjer Bogar convinces ALJ to open previously denied application with $100k in pending Medicaid benefits at stake.

January 20, 2015

KY—for national provider Schutjer Bogar uses Inaction Appeal to qualify current resident for Medicaid effective April ’14

January 15, 2015

OH—Schutjer Bogar lands third new client of ’15!

January 14, 2015

MD—for new client with 14 facilities, Schutjer Bogar uses Prejudicial Delay argument to win appeal and recover Medicaid from March ’13 to July ’14.

January 14, 2015

OH— after nearly nine months of litigation, Schutjer Bogar picks up the remaining five months of retroactive Medicaid benefits beginning on August ’13.

January 13, 2015

OH—for nation’s largest provider, Schutjer Bogar helps qualify current resident for Medicaid beginning July ’14

January 13, 2015

FL—for national provider, Schutjer Bogar qualifies current resident for Medicaid beginning March ’14.

January 12, 2015

AR—Schutjer Bogar uses Federal Regulations to qualify deceased resident for Medicaid on behalf of regional provider. Retroactive recovery, $37.5k.

January 12, 2015

AZ—Schutjer Bogar starts off 2015 with a new client operating 91 homes west of the Rockies!

January 09, 2015

FL—Schutjer Bogar and Medicaid Done Right work together on behalf of national provider to qualify current resident retroactively to Oct ‘13.

January 08, 2015

MD—Schutjer Bogar uses Delay Action to indefinitely forebear $1.2 million provider tax assessment payments on behalf of new client!

January 08, 2015

AR—Schutjer Bogar uses Delay Action to qualify another current resident for Medicaid on behalf of regional provider, resulting in $50k of retroactive benefits.

January 06, 2015

AL—county drops 1 year penalty period immediately after Schutjer Bogar enters appearance in appeal filed by nation’s largest provider!

January 06, 2015

PA—on behalf of regional provider, Schutjer Bogar forces current resident’s husband to produce missing verification and qualifies her for Medicaid beginning June’14.

January 06, 2015

WV—for national provider, caseworker grants Schutjer Bogar’s petition to allow resident’s current facility in WV to OME resident’s $50K outstanding balance at client’s facility in KY.

January 02, 2015

OH—for national client, Schutjer Bogar uses federal regulations to appeal and qualify current resident back to January 1, 2014.

January 01, 2015

Schutjer Bogar ends year with new client operating 40 facilities throughout New England!

December 31, 2014

NY—for national client, Schutjer Bogar and Assistant AG settle appeal and agree to qualify current resident for Medicaid back to February ’14.

December 31, 2014

OH—for nation’s largest provider, Schutjer Bogar uses Due Process arguments to open a denied application with a Medicaid retro-activity date of May 1, 2013.

December 30, 2014

PA—for regional provider, Schutjer Bogar uses federal regulations to open prior denial and qualify resident for Medicaid beginning May 1, 2012!!!

December 29, 2014

MD—since November ’14, Schutjer Bogar has recovered approximately $2M in retroactive Medicaid benefits for new client.

November 2014-Present

PA—Schutjer Bogar uses civil action to force resident’s agent to provide missing verifications to qualify current resident for Medicaid beginning May 1, 2014.

December 28, 2014

NY—for national client, Schutjer Bogar uses the NY regulation on asset unavailability to qualify current resident for Medicaid with a retro-activity date of June 1, 2014.

December 27, 2014

PA—Schutjer Bogar uses civil process to force resident’s agent to return $47k that was transferred for less than fair market value and caused resident’s Medicaid application to be denied.

December 26, 2014

PA—for regional provider, Schutjer Bogar forces current resident’s agent to spend down substantial excess resources to qualify current resident for Medicaid. Retro-activity dating back to June 12, 2014.

December 25, 2014

NM—for nation’s largest nonprofit provider, Schutjer Bogar uses MAR (Medicaid Authorized Representative) to force current resident’s agent to spend down $36k in excess resources.

December 24, 2014

OH—for nation’s largest provider, Schutjer Bogar uses Due Process arguments to open denied application with a Medicaid retro-activity date of August 1, 2013.

December 23, 2014

PA—for regional provider, Schutjer Bogar uses Due Process arguments to qualify current resident back to October ’13!

December 22, 2014

PA—Schutjer Bogar fights proposed penalty period and qualifies current resident back to January ¹14.

December 22, 2014

ND—for nation’s largest religious affiliated provider, Schutjer Bogar settles issue with AG over legitimacy of resident’s divorce and transfer of assets to community spouse. Retrospective & prospective eligibility beginning May ’13.

December 19, 2014

MO—Schutjer Bogar qualifies current resident for Medicaid on behalf of national client with 200 facilities. Retroactive recovery, $65k; prospective monthly benefits, $5k.

December 17, 2014

FL—on behalf of national client with 200+ facilities, Schutjer Bogar uses new theory to qualify deceased resident for Medicaid. Retroactive recovery, $69k.

December 17, 2014

AR—Schutjer Bogar eliminates $66k penalty period for regional client.

December 12, 2014

PA—for provider with 12 facilities, Schutjer Bogar uses civil process to qualify resident for Medicaid. Retroactive & prospective eligibility beginning June ’14.

December 12, 2014

OH—Schutjer Bogar qualifies resident for Medicaid on behalf of regional provider. Retroactive & prospective eligibility beginning May ’14.

December 12, 2014

AL—Schutjer Bogar assists national client with recovering $45k directly from family due to transfers for less than fair market value, resulting in denial of Medicaid application.

December 11, 2014

PA—for longtime client, Schutjer Bogar wins appeal and qualifies resident for retroactive benefits back to June ’12!!!!

December 10, 2014

AR—Schutjer Bogar uses Delay Action to qualify another resident for Medicaid on behalf of regional provider. $29k in retroactive benefits & prospective benefits beginning Dec ’14.

December 09, 2014

FL—for nation’s largest provider, Schutjer Bogar persuades probate court to appoint facility as the Medicaid Authorized Rep for two residents!

December 09, 2014

New Client! Religious affiliated provider with three facilities located in Eastern PA hires Schutjer Bogar to handle their Medicaid Eligibility matters.

December 05, 2014

SD—Schutjer Bogar obtains Medicaid Authorized Rep (MAR) to spend down excess resources and qualify resident for Medicaid on behalf of national provider with 200+ facilities. Retroactive & prospective benefits beginning June ’14.

December 05, 2014

NJ—after settling appeal with the AG’s Office, Schutjer Bogar qualifies resident on behalf of regional provider with 40 facilities. Retroactive & Prospective benefits beginning Jan ’13!

December 04, 2014

AR—Schutjer Bogar uses Delay Action to qualify second resident this week for regional provider. Retrospective & prospective Medicaid benefits beginning Dec ’13!

December 04, 2014

AR—Schutjer Bogar uses Delay Action to qualify resident for Medicaid on behalf of regional provider. Retrospective & prospective recovery beginning May ’14.

December 03, 2014

PA—for long time client who owns several non-Medicaid skilled facilities, Schutjer Bogar recovers $27k from former resident.

December 02, 2014

NY—New client with four facilities retains Schutjer Bogar to handle their Medicaid Eligibility matters!

November 26, 2014

CO—on behalf of national religious affiliated client with 200+ facilities, Schutjer Bogar persuades family to pay private rate while they appeal Medicaid Denials. Retrospective revenue recovered, $45k.

November 26, 2014

NC—on behalf of national client with 40 facilities, Schutjer Bogar appeals $40k penalty period and wins!

November 25, 2014

MD—Schutjer Bogar uses Delay Action and an amicable relationship with the DHHS to qualify resident for Medicaid. Retrospective & prospective recovery beginning Dec ’13.

November 24, 2014

MD—Schutjer Bogar uses Provider Appeal to challenge issues related to recoupment action and qualifies resident for Medicaid. Retrospective & prospective recovery beginning Jan ’14.

November 24, 2014

MA—for National client, NY grants Schutjer Bogar’s petition to allow NY facility to OME balance owed to client’s MA facility.

November 20, 2014

KY—caseworker grants Schutjer Bogar’s petition filed on behalf of national client to OME $43k outstanding balance for room and board.

November 20, 2014

New Client—Western PA religious affiliated client retains Schutjer Bogar to handle their complex Medicaid Eligibility matters.

November 20, 2014

MD—Schutjer Bogar uses prospect of Federal Action to negotiate amicable settlement with state over delay in paying approved Medicaid applications. Retrospective revenue recovered, $340k. Prospective monthly revenue recovered, $42k.

November 18, 2014

PA—Schutjer Bogar overturns $75k penalty period imposed by county for transfer of real estate from resident to son.

November 17, 2014

PA—Schutjer Bogar settles claim against former resident’s estate for missing patient pay liability. Retrospective revenue recovered, $20k.

November 17, 2014

NY—for national provider sb2 uses Delay Action to force ALJ to open up Denial. Potential retrospective & prospective recovery beginning in Jan ’14.

November 13, 2014

TX—for regional provider with 50 facilities, Schutjer Bogar intervenes and qualifies incapacitated resident for Medicaid. Retrospective & Prospective recovery beginning in July ’14.

November 13, 2014

OH—Schutjer Bogar and Attorney General’s Office agree to settle appeal filed with Appellate Court because of ALJ’s refusal to give resident a hearing on her appeal.

November 11, 2014

OH—in an Appeal of first impression, Attorney General agrees with sb2 that Medicaid residents transferring from other states cannot lose retroactivity because those states failed to timely discontinue their benefits.

November 07, 2014

PA—during hearing before ALJ, sb2 convinces County Assistance Office that resident’s Appeal was only late because her Authorized Representative had breached his fiduciary duties. Application reopened with effective date of Nov ’13.

November 06, 2014

ND—Schutjer Bogar intervenes in long pending Medicaid dispute and pushes resident to spend down excess resources. Retroactive recovery for client, $152k!

November 04, 2014

OH—Schutjer Bogar convinces ALJ to reopen application because the Denial was defective and violated the resident’s Due Process rights. Potential retroactive recovery beginning in Dec '13.

November 03, 2014

PA—sb2 uses new argument to convince ALJ and case worker to reduce penalty period $72k!

October 31, 2014

OH—Bureau of State Hearings affirms ALJ’s Decision in favor of Schutjer Bogar and orders the resident’s application be redetermined since her assets do not appear available under Federal law.

October 28, 2014

FL—Schtujer Bogar and MDR partner to qualify resident for nation’s largest skilled nursing Provider. Retroactive & prospective recovery beginning in Sept ’14.

October 28, 2014

New client! Schutjer Bogar is retained by Mid-Atlantic Provider with 14 facilities to handle their Medicaid Eligibility issues.

October 27, 2014

TX—for national provider with 200+ facilities, sb2 convinces caseworker to revoke penalty period for transfers for less than fair market value. Retroactive & prospective recovery beginning April ’14.

October 25, 2014

Big Win! NJ ALJ agrees with sb2 that Federal Regulations on the unavailability of assets preempts state's OPS memo. Appeal remanded to county for redetermination.

October 24, 2014

SD—Probate Court Judge grants sb2’s test case to appointed an Authorized Medicaid Representative!

October 23, 2014

SD—sb2 intervenes on behalf of national religious affiliated client with 200+ facilities to liquidate current resident’s assets and recovers $130k.

October 23, 2014

PA—DPW and sb2 settle appeal filed with the Commonwealth Court over the miscalculation of resident’s penalty period for alleged transfers of assets for less than FMV. Retroactive revenue recovered, $102k.

October 20, 2014

NJ—sb2 and caseworker agree to settle appeal by rescinding Denial and redetermining resident’s application that was filed in March.

October 20, 2014

FL—for national Provider with 200+ facilities, sb2 convinces County Supervisor to forgo clawing back Medicaid dollars paid to current resident for the 12 months that her agent failed to fund QIT.

October 20, 2014

NY—sb2 uses Delay Action to qualify resident for Medicaid. Retroactive revenue recovered, $105k. Prospective monthly revenue, $7k.

October 17, 2014

AL—for nation’s largest Provider, sb2 uses Petition to force resident’s Guardian to qualify her for Medicaid.

October 17, 2014

OH—based on sb2’s post-hearing brief, ALJ orders County to redetermine resident’s application for Medicaid based on their failure to prove resident’s ownership of excess resources.

October 17, 2014

sb2 is retained by national provider with 200+ facilities to prepare Best Medicaid Eligibility Practices training video!

October 15, 2014

PA—sb2 uses Preliminary Injunction to qualify resident for Medicaid Eligibility effective June ‘13. Retroactive revenue recovered, $110k. Prospective monthly benefit, $6.5k

October 13, 2014

MD—client with 14 facilities retains sb2 to handle the top 5% of their most difficult Medicaid Eligibility cases!

October 13, 2014

OH—sb2 uses Writ of Mandamus to qualify resident for Medicaid. Retrospective revenue recovered, $42k. Prospective monthly revenue, $6k.

October 13, 2014

AR—sb2 uses Delay Action to qualify a third resident for Medicaid on behalf of Southeast regional provider. Retroactive Revenue recovered, $40k. Prospective month revenue, $6k.

October 09, 2014

New Mid-Atlantic client with 6 facilities hires sb2 to clean up $2 million in Medicaid pending backlog!

October 08, 2014

OH—ALJ agrees with sb2 that caseworker’s failure to assist with obtaining verification after client requested help in writing mandated approval of the application for Medicaid. Retroactive revenue recovered, $43.5k Prospective monthly revenue, $5.5k

October 08, 2014

AR—sb2 uses Delay Action to qualify deceased resident for Medicaid. Retrospective revenue recovered, $20k.

October 07, 2014

MI—sb2 files Petition for Guardianship to recertify resident for Medicaid. Prospective monthly revenue, $6k.

October 07, 2014

NY—for northeast regional Provider, sb2 uses Delay Action to qualify resident for Medicaid. Retroactive revenue recovered, $120k! Prospective monthly revenue, $6.5k.

October 04, 2014

TX— on behalf of national Provider with over 200 facilities, sb2 uses Petition for Conservatorship to force Trustee for two residents’ trusts to turn over their PPL.

October 03, 2014

AR—sb2 uses Delay Action on behalf of regional Provider to qualify resident for Medicaid. Retroactive revenue recovered, $39k. Prospective monthly revenue, $4.8k.

October 03, 2014

NJ--after the hearing on sb2's Appeal, County issues Notice of Eligibility granting full retroactive Medicaid. Retroactive recovered, $98k. Prospective monthly revenue, $7k.

September 29, 2014

FL—sb2 brings in MDR (a national Medicaid application processing company) to quickly and efficiently qualify resident for Medicaid on behalf of nation’s largest Provider.

September 29, 2014
FL—sb2 brings in MDR (a national Medicaid application processing company) to quickly and efficiently qualify resident for Medicaid on behalf of nation’s largest Provider.

NJ—Attorney General settles sb2’s appeal filed with the NJ Superior Ct where ALJ wrongfully denied client a hearing on resident’s appeal.

September 29, 2014

SC—with resident’s health declining, sb2 convinces Court to immediately appoint a temporary conservator to spend down her excess resources to qualify for Medicaid. Retroactive revenue recovered, $60k.

September 24, 2014

AR—after extensive litigation, sb2 reduces penalty period and qualifies resident for Medicaid. Retroactive revenue recovered, $33k. Prospective monthly revenue, $5.5k.

September 24, 2014

NM—sb2 recertifies resident for Medicaid Eligibility on behalf of national Provider with 200 facilities.

September 24, 2014

KY—for national Provider sb2 qualifies resident for Medicaid by having excess resources assigned and transferred to client. Retroactive revenue recovered, $16.5k. Prospective monthly revenue, $5.5k.

September 24, 2014

PA—Trial Judge agrees with sb2 and enforces verbal promise requiring former resident to spend down $42k in excess resources to qualify for Medicaid. Revenue recovered, $90k.

September 24, 2014

PA—Secretary of DPW agrees with sb2 that ALJ committed reversible error and remands matter for new hearing on behalf of regional Provider with 25 facilities.

September 24, 2014

NJ—after years of contention, OPG and sb2 have bridged the divide and have been working together to qualify several residents of sb2’s clients for Medicaid!

September 19, 2014

sb2 wins appeal challenging Retroactivity Period on behalf of regional Provider with 60+ facilities.

September 18, 2014

NJ--sb2 works with OPG to qualify resident for Medicaid on behalf of regional client with 24 facilities. Retroactive revenue recovered, $105k. Prospective monthly revenue, $7k.

September 16, 2014

MD--In 8 weeks sb2 uses Delay Action to recover $240k in retro revenue and $30k a month in prospective revenue for national Provider with 200+ facilities.

September 12, 2014

SC--For national Provider sb2 convinces ALJ to order county to redetermine incapacitated resident's Medicaid application because her excess resources were unavailable as a law of law.

September 11, 2014

For national Provider with 200 facilities sb2 qualifies resident for Medicaid and then obtains approval from DSS to OME remaining balance owed to facility. Retroactive revenue recovered, $65k. Prospective revenue, $6.5k.

September 11, 2014

OH--sb2 uses petition to remove guardian to obtain $80k cash settlement for nation’s largest Provider.

September 11, 2014

PA--After a long fight to spend down substantial excess resources, sb2 qualifies resident (with a $340k outstanding balance) for Medicaid.

September 05, 2014

NY--sb2 removes $25k penalty period and qualifies resident for Medicaid on behalf of single facility Provider.

September 03, 2014

PA--Secretary of DPW grants sb2’s Motion to Reconsider ALJ’s erroneous decision about resident’s Revocable Trust.

September 03, 2014

sb2 wins significant victory for the nation’s largest Provider by convincing ALJ to overturn a Denial based on prejudicial delay!

September 02, 2014

OH--for country's largest Provider, ALJ orders county to grant resident's application based on sb2's arguments. Revenue recovered, $88k. Prospective monthly revenue, $5.5k.

August 27, 2014

OH--sb2 opens October '12 application for Medicaid and qualifies resident for benefits. Revenue recovered, $33k.

August 27, 2014

SC--sb2 assists with spend down of excess resources to qualify resident for Medicaid. Revenue Recovered, $35k. Prospective monthly revenue, $5k.

August 27, 2014

From the largest Provider in the nation to a single Provider in OH, sb2 wins four Medicaid Eligibility appeals in just ONE DAY!

August 25, 2014

OH--Because of significant prejudice caused by delay in processing resident's Medicaid application, ALJ orders County to revoke Denials for excess resources!

August 22, 2014

NJ--sb2 uses Delay Action to qualify deceased resident for Medicaid. Revenue recovered, $63k.

August 21, 2014

PA County Home--sb2 uses injunction to force family to spend down excess resources to move one step closer to qualifying resident for Medicaid. Revenue recovered, $40k.

August 20, 2014

MD--sb2 appeals and wins Decertification Notice in just three weeks! Revenue recovered, $33k. Future monthly revenue, $5.5k.

August 19, 2014

PA--sb2 pushes family to purchase for market value real estate previously transferred for less than FMV to qualify resident Medicaid. Revenue recovered, $30k. Prospective monthly revenue, $6.5k

August 19, 2014

After winning its appeal at the Commonwealth Court, ALJ rules that two appeals by sb2 were timely filed even though they were filed months after the appeal deadline.

August 15, 2014

For national Provider with 200+ facilities, sb2 uses Delay Action filed in Federal Court to open 11 previously denied Medicaid applications.

August 13, 2014

sb2 recovers an additional $60k in retroactive revenue for nation's largest Provider when County settles appeal at ALJ hearing.

August 13, 2014

sb2 persuades ALJ to require County to process Medicaid application filed in 2012 for national Provider’s OH facility.

August 13, 2014

For Ohio Provider sb2 wins appeal to Trial Court after ALJ denied former resident’s appeal as untimely despite the resident passing away before denial was issued. Retroactive recovery, $44k.

August 11, 2014

For nation’s largest Provider sb2 wins appeal of caseworker’s Community Spouse Resource Assessment (CSRA)!

August 11, 2014

sb2 qualifies WI resident for Medicaid on behalf of national religious affiliated client with 200+ homes. Retrospective recovery, $78k. Prospective monthly revenue, $7k.

August 08, 2014

sb2 qualifies FL resident for Medicaid on behalf of national Provider with 200+ facilities. Retroactive recovery, $45k. Future monthly revenue, $5.5k.

August 04, 2014

In just two days, sb2 appeals Decertification and secures continued Medicaid Eligibility for Maryland CCRC. Prospective monthly revenue, $6k.

August 04, 2014

sb2 uses Delay Action to qualify resident on behalf of single facility NY Provider. Retroactive recovery, $51k. Prospective monthly revenue, $6.5k.

August 04, 2014

sb2 recovers $376k (and $36k in monthly prospective revenue) in just 7 Medicaid Eligibility cases for mid-sized national Provider. Cost? $31k

August 01, 2014

(3 new clients in 1 day!!!) sb2 is retained by national Provider with 28 long-term care facilities!

July 31, 2014

On behalf of OH client, sb2 obtains payment in full from former resident’s Estate for botched Medicaid application.

July 31, 2014

sb2 wins Appeal of denial of regional Provider’s FL resident’s application for Medicaid by leveraging fact that she had already been qualified in NH.

July 31, 2014

New Client! sb2 is retained by Western PA County Home to assist with their Medicaid Eligibility matters.

July 31, 2014

sb2 is retained by new CA client to help with their Medicaid Eligibility Policies and Practices.

July 31, 2014

For OH client with single facility, sb2 uses Delay Action to qualify resident for Medicaid. Retroactive benefits, $63k. Prospective monthly benefits, $6k.

July 29, 2014

sb2 obtains Undue Hardship Waiver for one of regional Provider's OH facilities. Retrospective benefit, $77k!

July 25, 2014

sb2 uses Delay Action for national client's MD facility to qualify three more residents for Medicaid. Retroactive benefits, $152k. Prospective monthly benefits, $18k.

July 25, 2014

For new national client with 200+ skilled nursing facilities, sb2 uses Delay Action in MD to qualify resident for Medicaid. Retrospective benefits, $52k. Prospective monthly benefits, $6k.

July 23, 2014

sb2 uses Delay Action to qualify resident for Medicaid on behalf of OH Provider. Retroactive benefits, $55k. Prospective monthly benefit, $5.5k.

July 23, 2014

sb2 settles ALJ appeal with County on behalf of regional provider with several facilities in OH. Retrospective benefit, $49.5k. Prospective monthly benefits, $5.5k.

July 18, 2014

Nation's largest Provider uses sb2's Prehearing Brief & Hearing Strategy option and wins ALJ hearing. Retroactive benefits, $71.5k. Prospective monthly benefits, $5.5k.

July 17, 2014

sb2 uses Delay Action for Northeast Regional Provider to qualify resident for Medicaid. Retroactive benefits, $89k. Prospective monthly benefits, $6.5k

July 16, 2014

sb2 and OH Attorney General settle Appeal by agreeing to remand Denial to County, so it can redetermine application filed nearly 2 years ago!

July 16, 2014

A Medicaid application processing company operating in 5 states, retains sb2 to assist on behalf of its 200+ skilled nursing clients.

July 11, 2014

sb2 appeals retroactivity period of Medicaid Approval for regional PA Provider and wins. Retroactive benefits, $42k.

July 09, 2014

sb2 and OH Attorney General settle appeal to the Ohio Appellate Court by agreeing to remand adverse ALJ Decision for new hearing.

July 08, 2014

For nation's largest Provider, sb2 obtains approval for long pending resident's application for Medicaid. Retroactive benefits, $44k. Prospective monthly benefits, $5.5k.

July 08, 2014

sb2 uses Delay Action to qualify resident for Medicaid on behalf of PA Provider. Retroactive benefits, $48k. Prospective monthly benefits, $6.5k.

July 08, 2014

For AR client, hours before an ALJ hearing sb2 gets settlement offer from the AG's Office in two cases, resulting full Medicaid eligibility for each resident. Retrospective benefits, $125k; prospective monthly benefits, $10k.

July 04, 2014

sb2 challenges 18 month old Denial and recovers $35k for one of the nation's Top 5 largest Providers.

June 30, 2014

For nation's largest Provider, sb2 successfully removes resident's guardian, forces sale of resident's home, and liquidation of excess resources to qualify her for Medicaid. Private pay benefits, $80k.

June 30, 2014

Precedent setting WIN! ND Appellate Court