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Decision #
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
October 6, 2015
Fiscal Year End
2000, 2002, 2003 and 2004 (through 9/30/2004)