what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
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sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
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sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
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After Board affirmed the denial of client’s appeal, sb2 appealed to state court, and county subsequently approved resident’s application for Medicaid without any coverage gaps.
05/14/2024
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sb2 convinces Board of Review to overturn ALJ’s imposition of $139k ineligibility period for the alleged transfer of real estate for less than FMV.
05/09/2024
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After filing an appeal because of the failure to process resident’s program change, case worker grants Medicaid eligibility with full retroactivity the day before hearing.
05/07/2024
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sb2 uses inaction appeal, citing CMS Regulation, to qualify resident for Medicaid back to March ’23.
05/03/2024
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ALJ agrees with sb2 that that assets which can’t be liquidated due to disability are not countable for Medicaid eligibility purposes, opening denied application.
04/30/2024
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Department opts not to appeal sb2’s significant appellate court win for providers and secures over 3 years of Medicaid eligibility benefits for current resident.
04/25/2024
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After using litigation to push current resident to qualify for Medicaid, facility receives Medicaid eligibility notice retro to November ’22.
04/23/2024
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sb2 intervenes at last minute, and uses CMS regulations to convince ALJ to order county to reopen Medicaid application dating back 24+ months.
04/18/2024
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After three circuit court appeals, sb2 qualifies for Medicaid current resident with missing birth certificate back to January ’21.
04/16/2024
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For large assisted living provider, sb2 secures $20k from former employee who breached tuition loan agreement.
04/11/2024
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sb2 qualifies current resident for Medicaid effective November ’23 relying on state’s conditional Medicaid eligibility reg.
04/09/2024
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