PRRB Dec. No. 2010-D38-R

Whether enrollees in Medicare Part C are "entitled to benefits" under Part A, as that phrase is used at section 1886(d)(5)(F)(vi)(I) of the Social Security Act, and, therefore, whether these days should be counted in the numerator and denominator of the "Medicare fraction" of the DSH adjustment, or whether enrollees in Medicare Part C are "not entitled to benefits under Part A", as that phrase is used at section 1886(d)(5)(F))(vi)(II) of the Act and, therefore, whether these days should be included in the numerator of the "Medicaid fraction" of the DSH adjustment.