PRRB Dec. No. 2018-D48

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Decision Number
PRRB Dec. No. 2018-D48
Case Name
Providence Health & Services 10/1/2004-12/31/2007 Dual Eligible Days CIRP Group vs. Noridian Healthcare Solutions
Issue
Whether patient days associated with Medicare Part A and Title XIX eligible patients that were not included in the SSI percentage factor of the Medicare Disproportionate Share formula should be included in the Medicaid fraction of the Medicare DSH formula.

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