Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2012-D06
Case Name
Lifespan SWC 2003 DSH Medicare+Choice Days Group vs. National Government Services/BlueCross Blue Shield Association
Issue
Whether inpatient days for Medicare-eligible patients who were enrolled in a Medicare+Choice (M+C) plan under Part C of the Medicare statute were properly excluded from the numerator of the Medicaid fraction that is used to calculate the disproportionate share hospital (DHS) payment.