News

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.

----

ALJ agrees with sb2’s prejudicial delay arguments and overturns denial of resident’s application for Medicaid, directing agency to award benefits back to March ’22.

10/06/2022

----

sb2 wins Undue Hardship Waiver for assets allegedly transferred solely for Medicaid planning purposes.

10/04/2022

----

County grants full Medicaid retroactivity after sb2 files appeal challenging effective date.

09/29/2022

----

sb2 uses state regulation to obtain conditional Medicaid eligibility effective October ’21 for resident without the capacity to qualify herself for benefits.

09/26/2022

----

sb2 secures Medicaid eligibility effective September ’20 for deceased resident using CMS regulations and due process clause.

09/22/2022

----

sb2 appeals another MCO’s erroneous discontinuance of resident’s skilled nursing care benefits and wins.

09/20/2022

----

For IL provider, sb2 weaves together federal state regulations to convince ALJ to reopen resident’s application for Medicaid, even though resident had failed to prove US citizenship.

09/16/2022

----

Even though resident had an application Medicaid pending, sb2 successfully wins discharge hearing overcoming regulation mandating opposite result.

09/12/2022

----

sb2 wins another LOC appeal when MCO pays coverage gap and reinstates resident’s Medicaid eligibility.

09/09/2022

----

For Illinois client, sb2 qualifies resident back to January ’20 after winning appeal to Circuit Court.

09/06/2022

----

sb2 files grievance challenging MCO’s discontinuance of resident’s benefits, and MCO agrees to pay coverage gap.

08/29/2022

----