Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2018-D43
Case Name
QRS 2004-2005 Medicare Part A Title XIX Eligible Patient Days Group III; QRS Empire 2000, 2003-2004, 2006-2007 Medicare Part A Title XIX Eligible Days – No Pay Part A CIRP Group; and QRS 10/1/2004 – 2008 DSH No Pay Part A Group vs. Noridian Healthcare Solutions, LLC/Wisconsin Physicians Service
Issue
Whether patient days associated with Medicare Part A, Title XIX eligible patients that were not included in the Supplemental Security Income (SSI) percentage factor of the Medicare Disproportionate Share Hospital (DSH) formula should be included in the Medicaid days factor or the SSI percentage factor used in the Medicare DSH formula.