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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sb2 qualifies resident for Medicaid back to October ’19 with help from CMS Regs.
08/10/2020
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sb2 relies again on constitutional due process arguments to qualify resident for Medicaid back to February ’19.
08/07/2020
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Another administrative law judge agrees that not all countable resources are available resources and orders county to open Medicaid denial.
08/05/2020
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After appealing denial of resident’s Medicaid application, county agrees that three parcels of real property were not available resources.
08/03/2020
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Using constitutional arguments, sb2 opens Medicaid denial despite untimely appeal and obtains eligibility back to August ’18.
07/30/2020
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sb2 qualifies current resident, with full Medicaid retroactivity, using CMS Regs on spousal right of refusal & excess resources.
07/28/2020
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Using CMS Regulations, sb2 qualifies another resident with excess resources who also transferred $79k during the Lookback Period.
07/24/2020
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Administrative law judge agrees with sb2’s regulatory & constitutional arguments and orders county to open resident’s Medicaid application filed in ’18.
07/20/2020
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sb2 uses federal constitutional arguments to save Medicaid appeal filed by client 487 days after appeal deadline.
07/17/2020
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sb2 qualifies resident for Medicaid after ALJ agrees that LOC denial by county was in error.
07/15/2020
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sb2 intervenes and quickly qualifies resident with $100k balance for Medicaid.
07/13/2020
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