PRRB Dec. No. 2007-D43

Decision Number
PRRB Dec. No. 2007-D43
Case Name
Baptist Memorial Hospital vs. BlueCross BlueShield Association/Riverbend Government Benefits Administrators
Issue
Whether the Provider is entitled under CMS Program Memorandum (PM) A-99-62 to include Social Security Act, Section 1115 waiver days for the expanded Medicaid populations (a/k/a TennCare) days in the Medicaid component of the disproportionate share hospital (DSH) calculation.

Downloads