Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2011-D39
Case Name
Baycare 2002 Medicare+Choice Days Group vs. BlueCross BlueShield Association/First Coast Service Options, Inc.
Issue
Whether inpatient days for Medicaid-eligible patients who were enrolled in Medicare+Choice (M+C) plan under Part C of the Medicare statute were properly excluded from the numerator of the Medicaid fraction that is used to calculate the disproportionate share hospital (DSH) payment.