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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At hearing before administrative law judge, county cedes that “policy” restricting full Medicaid retroactivity wasn’t applicable and allows resident to PEME/OME coverage gap.
09/04/2019
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Appellate Court agrees with sb2 inc. that administrative law judge erred when he dismissed client’s appeal for lack of standing to file it.
08/27/2019
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Board of Appeals opens denial and orders new eligibility determination based only on information that’s currently available after sb2 inc. proved that county agency failed to comply with resident’s written request for assistance.
08/21/2019
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Making it the third appellate court win in a week, state appellate court agrees that sb2 inc.’s client has standing to appeal the denial of resident’s Medicaid appeal.
08/16/2019
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After sb2 inc. convinces appellate court to open Medicaid denial, county agency agrees to grant retroactivity back to ‘16.
08/13/2019
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In another first, state appellate court agrees with sb2 inc. that the county agency committed reversible error when they failed to run the CMS mandated Asset Verification Searches and assist a resident with obtaining requested verifications.
08/08/2019
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sb2 inc. wins another appellate court decision when judge agrees that providers have the authority to appeal Medicaid denials on behalf of their residents.
08/05/2019
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For small NY provider, sb2 inc. turns to CMS Regulations to qualify 15 residents for Medicaid.
07/31/2019
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ALJ agrees with sb2 inc.’s appeal and orders agency to perform Asset Verification Search and provide assistance to resident who isn’t able to obtain requested verification to qualify for Medicaid.
07/29/2019
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ALJ agrees with sb2 inc. that Denials issued by county violated husband and wife’s due process rights and directs county to issue Medicaid benefits for both.
07/24/2019
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ALJ agrees with sb2 inc. that Medicaid applicant was a resident of IN after being admitted to a skilled nursing facility there and orders application to be redetermined.
07/22/2019
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