Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2013-D38
Case Name
Washington General Assistance Days Groups vs. Blue Cross Blue Shield Association/Noridian Administrative Services -WA/AK/Wisconsin Physician Services
Issue
Whether patient days associated with the Medically Indigent (MI) and General Assistance/Unemployable (GAU) Programs in Washington State should be included in the numerator of the Medicaid fraction of the Medicare Disproportionate Share Hospital (DSH) payment calculation formula in accordance with 42 C.F.R. § 412.106(b)(4) and § 1886(d)(5)(F)(vi)(II) of the Act.