Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2017-D12
Case Name
Hall Render Optional and CIRP DSH Dual/SSI Eligible Group Appeals- Medicare Fraction & Hall Render, Individual, Optional and CIRP DSH Dual/SSI Eligible Group Appeals- Medicare Fraction vs. Medicare Administrative Contractors
Issue
Whether Medicare Disproportionate Share Hospital reimbursement calculations for the Providers were understated due to the failure of the Centers for Medicare & Medicaid Services and the relevant Medicare administrative contractors to include all supplementary security income 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).