2024D33

Whether the fiscal year ("FY") 2008 Medicare Disproportionate Share Hospital ("DSH") payment for the Oklahoma State University Medical Center (the "Provider" or OKSU-MC") was understated because, as required by 42 U.S.C. § 1395ww(d)(5)(F)(vi) and other authorities, the payment did not include the inpatient days for which the patients in OKSU-MC's four child, early adolescent, and adolescent behavioral health units (the "Four Units") were "eligible for medical assistance under a state plan approved under Title 19, but who were not entitled to benefits under Medicare Part A" as required by the statute, HCFA Ruling 97-2, Program Memorandum A99-62, CMS Ruling 1498-R1 and other authorities.