Provider Reimbursement Review Board Issues 60 Day Deadline to Supplement Record in All DSH Medicaid Eligible Days Appeals


On May 23, 2014, the CMS Office of Hearings released Alert 10, notifying providers of an important new 60 day deadline concerning certain appeals before the Provider Reimbursement Review Board (PRRB or Board). By the end of this deadline, providers must supplement the record in all appeals in which providers seek to add additional Medicaid eligible days to their cost reports. Providers that do not meet this deadline may have their appeals dismissed for lack of jurisdiction.

By Tuesday, July 22, 2014, providers with pending Medicaid eligible day appeals must submit documentation to the PRRB to satisfy the Board that it has jurisdiction over the Medicaid eligible days issue. The PRRB is vague as to what particular documents must be submitted but is relatively prescriptive regarding what those documents must prove. In particular, providers with Medicaid eligible day appeals must submit, at a minimum, documentation that...

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