what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
----
sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
----
sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
----
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
----
sb2 intervenes 6 months ago and helps client secure enrollment in state Medicaid program after 2+ year delay.
11/04/2025
----
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
----
Board agrees that ALJ wrongfully deemed Medicaid applicant the owner of real property held by LLC, ordering county to redetermine eligibility.
10/21/2025
----
ALJ sides with sb2 ordering county to redetermine current resident’s eligibility for Medicaid even though the requisite verification was late.
10/14/2025
----
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
----
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
----
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
----
With only days before sale of current resident’s home, sb2 intervenes and secures payment of outstanding AR, using constructive trust.
09/22/2025
----
sb2 appeals to federal & state administrative courts to force MCO to load new provider agreements and pay claims pending since the beginning of ’25.
09/16/2025
----
For new NJ client, sb2 secures their first ever UHW for the transfer of assets done solely for Medicaid purposes, curing a $130k Medicaid coverage gap.
09/11/2025
----