PRRB Review

Decision #
2012D06
Case #
10-1386GC
Provider #
Various
Issue
Whether inpatient days for Medicaid-eligible patients who were enrolled in a Medicare+Choice (M+C) plan under Part C of the Medicare statute were properly excluded from the numerator of the Medicaid fraction that is used to calculate the disproportionate share hospital (DSH) payment.
Case Name
Lifespan SWC 2003 DSH Medicare+Choice Days Group
Decision Date
2012-01-18
Fiscal Year End
09/30/2003