PRRB Dec. No. 2012-D17

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Decision Number
PRRB Dec. No. 2012-D17
Case Name
Ober Kaler DSH Charity Care Groups vs. BlueCross BlueShield Association/Highmark Medicare Services and Cahaba Government Benefits Administrator
Issue
Whether days associated with patients covered under the New Jersey Charity Care Program should be included in the numerator of the Medicaid proxy of the Medicare disproportionate share hospital (DSH) calculation pursuant to § 1886(d)(5)(F)(vi)(II) of the Social Security Act, as amended.

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