Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2017-D04
Case Name
Southwest Consulting U Mass Memorial Health Care and Steward Health 2009 DSH CCHIP Section 1115 Waiver Days Groups vs. Novitas Solutions, Inc.
Issue
Whether days attributable to patients who were eligible for, and received, assistance through the Massachusetts Commonwealther Care Health Insurance Program, under a CMS approved § 1115 waiver, should be included in the numerator of the Medicaid fraction for purposes of the Providers' Medicare Disproportionate Share Hospital adjustment calculation.