News

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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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Day before state hearing on appeal challenging denial of current resident’s Medicaid application, case worker issues notice of action approving benefits with full retroactivity.

10/29/2024

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sb2 helps client secure provisional eligibility for resident whose application for Medicaid pended longer than allowed by the applicable CMS regulation.

10/25/2024

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Board of review agrees to open dismissed appeal hearing based on sb2’s appeal challenging the constitutionality of the ALJ’s actions.

10/22/2024

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The day before appealing hearing, challenging the CAO’s failure to grant full Medicaid retroactivity, caseworker issues new notice of eligibility with proper effective date.

10/17/2024

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Administrative Law Judge agrees with sb2 and orders county to approve current resident’s application back to December 2023, based on violation of CMS Regulation.

10/15/2024

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For large assisted living provider and client for over 20 years, sb2 uses petition filed with the court to recover $38k.

10/09/2024

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In a first, trial court agrees with sb2 and denies hospital’s attempt to dismiss lawsuit seeking damages for not disclosing that resident was an undocumented migrant ineligible for Medicaid.

10/02/2024

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sb2 again uses CMS Regulations & Rehabilitation Act to qualify current resident for Medicaid benefits effective October ’23.

09/25/2024

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sb2 uses federal administrative complaints to force start processing delayed Medicaid applications, resulting in significant cash flow increase for client.

09/18/2024

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For longtime client with dozens of assisted living facilities throughout the Northeast, sb2 recovers $38k.

09/11/2024

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sb2 uses motion to compel current resident’s responsible party to spend down nearly $80k at facility and apply for Medicaid.

09/06/2024

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