PRRB Dec. No. 2009-D30

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Decision Number
PRRB Dec. No. 2009-D30
Case Name
SRI 1998 DSH Medicare Part C Days Group vs. Blue Cross Blue Shield Association/Noridian Administrative Services
Issue
Whether the exclusion of patient days attributable to Medicare+Choice (M+C) enrollees from the Medicaid fraction in calculating the Provider's disproportionate patient percentage contravenes the statute and regulations.

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