PRRB Dec. No. 2011-D10

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Decision Number
PRRB Dec. No. 2011-D10
Case Name
Indiana DSH-HCI Days Groups I-V vs. BlueCross BlueShield Association/National Government Services, Inc.
Issue
Whether the Intermediary's non-inclusion of the Indiana Hospital Care for the Indigent (HCI) program patient days as Medicaid eligible days, whether paid or unpaid, in the calculation of the Medicaid proxy for Medicare Disproportionate Share Hospital (DSH) eligibility and payment determinations, including any impact such would have on capital DSH, was proper.

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