Whether Medicare Disproportionate Share Hospital (“DSH”) reimbursement calculations for the Providers (“Hospitals”) were understated
due to the failure of the Centers for Medicare & Medicaid Services (“CMS”) and the relevant Medicare administrative contractors
Contractors”)1 to include all supplementary security income (“SSI”) eligible patient days in the
numerator of the Medicare fraction of the Medicare DSH percentage, as required by 42 U.S.C.§ 1395ww(d)(5)(F)(vi).
Hall Render Individual, Optional and CIRP DSH
Dual/SSI Eligible Group Appeals – Medicare Fraction