Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2007-D68
Case Name
St. Joseph's Hospital/St. John's Northeast Hospital vs. BlueCross BlueShield Association/Noridian Government Services
Issue
Whether the Intermediary's exclusion of certain non-Medicaid general assistance and other state-only funded patient days (General Assistance Days or GADs) from the Provider's Medicaid Proxy was proper based on the instruction contained in Program Memorandum A-99-62.