what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
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sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
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sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
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For new client, sb2 uses administrative complaints to clear long overdue payments by county sponsored MCO.
12/01/2025
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sb2 uses civil ligation tactics to qualify current resident, who had refused to spend down, for Medicaid retro to May ’24.
11/25/2025
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ALJ agrees with sb2’s constitutional arguments and reopens current resident’s application for Medicaid filed October ’24.
11/19/2025
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For longtime client, sb2 persuades ALJ to rescind Medicaid application Denials for two residents because the caseworkers failed to follow CMS regulations.
11/12/2025
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sb2 intervenes 6 months ago and helps client secure enrollment in state Medicaid program after 2+ year delay.
11/04/2025
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For longtime client, sb2 persuades ALJ to rescind Medicaid application Denials for two residents because the caseworkers failed to follow CMS regulations.
10/27/2025
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Board agrees that ALJ wrongfully deemed Medicaid applicant the owner of real property held by LLC, ordering county to redetermine eligibility.
10/21/2025
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ALJ sides with sb2 ordering county to redetermine current resident’s eligibility for Medicaid even though the requisite verification was late.
10/14/2025
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After filing appeal challenging denial of resident’s application for Medicaid, county agrees that a portion of resident’s income should not have been deemed available.
10/07/2025
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ALJ agrees with sb2 that resident’s available income calculation for Medicaid eligibility was wrong, ordering county to issue a new determination.
10/02/2025
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Case worker agrees during hearing before ALJ that resident’s guardian was unable to liquidate excess resources without first obtaining court permission.
09/30/2025
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