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Decision #
2015D15 - Order to Vacate (Decision has been reissued as 2016D01)
Case #
05-0543GC; 05-0862GC and 06-0910GC
Provider #
Various
Issue
Whether inpatient days for Medicaid-eligible patients who were enrolled in a Medicare+Choice ("M+C") plan under Medicare Part C were properly excluded from the numerator of the Medicaid fraction that is used to calculate the disproportionate share hospital ("DSH") payment.
Case Name
HCA 00, 02 DSH Medicare+Choice Plan Days; HCA 03 DSH Medicare+Choice Plan Days; HCA 04 DSH Medicare+Choice Plan Days
Decision Date
08/18/15
Fiscal Year End
2000, 2002, 2003, 2004