PRRB Dec. No. 2013-D36

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Decision Number
PRRB Dec. No. 2013-D36
Case Name
St. Luke 2001-2007 DSH Inclusion of Title XIX Eligible Days CIRP Group vs. Blue Cross Blue Shield Association/CGS Administrators, LLC
Issue
Whether days associated with patients covered under the Kentucky Hospital Care Program (KHCP) 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 Act, as amended.

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