PRRB Dec. No. 2013-D10

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Decision Number
PRRB Dec. No. 2013-D10
Case Name
QRS 1995, 2001-2002, 2004-2005 Missouri DSH/General Assistance Days Group vs. Blue Cross Blue Shield Association/Wisconsin Physicians Service
Issue
Whether days associated with patients “covered” under the Missouri State Plan 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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