PRRB Dec. No. 2018-D12

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Dynamic List Data
Decision Number
PRRB Dec. No. 2018-D12
Case Name
St. Anthony Hospital vs. Novitas Solutions, Inc.
Issue
Whether the Medicaid days attributable to child and adolescent patients who received services in three of the Provider’s inpatient behavioral health units (namely the ACCENTS Unit, the Human Restoration Unit, and the Positive Outcomes Unit) can be included in the Medicaid fraction of the formula used to calculate the Provider’s Medicare disproportionate share hospital (DSH) payment.

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