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.
----
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
----
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
----
For large assisted living provider and client for over 20 years, sb2 uses petition filed with the court to recover $38k.
10/09/2024
----
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
----
sb2 again uses CMS Regulations & Rehabilitation Act to qualify current resident for Medicaid benefits effective October ’23.
09/25/2024
----
sb2 uses federal administrative complaints to force start processing delayed Medicaid applications, resulting in significant cash flow increase for client.
09/18/2024
----
For longtime client with dozens of assisted living facilities throughout the Northeast, sb2 recovers $38k.
09/11/2024
----
sb2 uses motion to compel current resident’s responsible party to spend down nearly $80k at facility and apply for Medicaid.
09/06/2024
----
sb2 uses federal and state regulations to convince ALJ that county must redetermine resident’s application of “available” resources only.
09/04/2024
----
To the surprise of longtime client, sb2 uses constitutional arguments to persuade ALJ to open denied application for Medicaid.
08/29/2024
----
After commencing arbitration, sb2 recovers $175k from MCO in previously recouped Medicaid payments.
08/27/2024
----