Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2009-D35
Case Name
Allina 1995-2003 DSH Dual Eligible Days Group vs. Blue Cross /Blue Shield Association/Noridian Administrative Services
Issue
Whether it was proper for the Intermediary to exclude from the Medicaid fraction, patient days associated with patients who were dually eligible for both Medicare and Medicaid, but for which Medicare did not cover the days, nor make a payment.