PRRB Review

Decision #
2009D03
Case #
04-2130G
Provider #
50-0024
Issue
Whether the Intermediary should include dual-eligible, managed care days in the Medicaid proxy in determining Medicare reimbursement for disproportionate share hospital (DSH) payments in accordance with the Medicare statute at 42 U.S.C. Section 1395ww(d)(5)(F)(vi)(II).
Case Name
QRS 1994 DSH Medicare Managed Care and Mediciad Eligible Days Group
Decision Date
12/17/2008
Fiscal Year End
12/31/1994