Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2016-D01
Case Name
HCA 00, 02 DSH Medicare + Choice Plan Days, HCA 03 DSH Medicare + Choice Plan Days, HCA 04 DSH Medicare + Choice Plan Days vs. Noridian Healthcare Solutions/ Wisconsin Physicians Service
Issue
Whether inpatient days for Medicaid-eligible patients who were enrolled in a Medicare+Choice (M+C) plan under Medicare part C were properly excluded from the numerator of the Medicaid fraction that is used to calculate the disproportionate share hospital (DSH) payment.