PRRB Dec. No. 2014-D01

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Decision Number
PRRB Dec. No. 2014-D01
Case Name
Owensboro Medical Health System vs. Blue Cross Blue Shield Association/CGS Administrators, LLC
Issue
Whether medical assistance/general assistance days associated with patients covered under the Kentucky 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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