PRRB Dec. No. 2022-D29

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Decision Number
PRRB Dec. No. 2022-D29
Case Name
St. Anthony Hospital vs. Novitas Solutions, Inc.
Issue
Whether Medicaid days attributable to child and adolescent patients who received services in three of the Provider’s inpatient behavioral health units licensed as psychiatric residential treatment facilities (PRTFs) during fiscal year ending December 31, 2006 should be included in the Medicaid fraction of the Provider’s Medicare disproportionate share hospital (DSH) payment.