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Decision #
2011D19
Case #
09-0003GC; 04-2135G; 04-2136G; 04-2137G; 06-1907G; 06-1906G; 08-2753GC; 08-2757GC; 08-2847GC
Provider #
Various
Issue
Whether the Intermediary should include dual-eligible, Medicare + Choice (M + C) patient days in the numerator of the Medicaid proxy in determining Medicare reimbursement for disproportionate share hospital (DSH) payments in accordance with the Medicare statute at 42 U.S.C. Section 1395ww(d)(5)(F)(vi)(II).
Case Name
QRS 1999-2003 DSH Medicare Part C Days Group
Decision Date
03/06/2011
Fiscal Year End
Various