Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2009-D03
Case Name
QRS 1994 DSH Medicare Managed Care and Medicaid Eligible Days Group vs. BlueCross BlueShield Asociation/Noridian Administrative Services
Issue
Whether the Intermediary should include dual-eligible, managed care days in the Medicaid proxy in determining Medicare reimbursement for disproportionate share hospital (DSH) payments in accordance with the Medicare statute at 42 U.S.C. Section 1395ww(d)(5)(F)(vi)(II).