Dynamic List Information
Dynamic List Data
Decision #
2017D12
Case #
07-0413, 07-2872G, 09-1039GC,
09-1830G, 09-1863GC, 12-0365GC,
12-0373GC, 12-0412, 13-0140GC,
13-0591, 15-0266 and 15-0270
09-1830G, 09-1863GC, 12-0365GC,
12-0373GC, 12-0412, 13-0140GC,
13-0591, 15-0266 and 15-0270
Provider #
Various
Issue
Whether Medicare Disproportionate Share Hospital (“DSH”) reimbursement calculations for the Providers (“Hospitals”) were understated due to the failure of the Centers for Medicare & Medicaid Services (“CMS”) and the relevant Medicare administrative contractors (“Medicare
Contractors”)1 to include all supplementary security income (“SSI”) eligible patient days in the
numerator of the Medicare fraction of the Medicare DSH percentage, as required by 42 U.S.C.§ 1395ww(d)(5)(F)(vi).
Contractors”)1 to include all supplementary security income (“SSI”) eligible patient days in the
numerator of the Medicare fraction of the Medicare DSH percentage, as required by 42 U.S.C.§ 1395ww(d)(5)(F)(vi).
Case Name
Hall Render Individual, Optional and CIRP DSH
Dual/SSI Eligible Group Appeals – Medicare Fraction
Dual/SSI Eligible Group Appeals – Medicare Fraction
Decision Date
2017-03-28
Fiscal Year End
December 31, 2004 – June 30, 2009