Opinion ID: 3030590
Heading Depth: 2
Heading Rank: 3

Heading: the medicaid fraction

Text: This appeal turns on the interpretation of the Medicaid fraction provision in the DSH statute, which states, in relevant part, that the PORTLAND ADVENTIST MEDICAL CENTER v. THOMPSON 2437 “disproportionate patient percentage” [includes] . . . [t]he fraction (expressed as a percentage), the numerator of which is the number of the hospital’s patient days for such period which consist of patients who (for such days) were eligible for medical assistance under a State plan approved under [title] XIX . . . but who were not entitled to benefits under part A of this [title] [Medicare], and the denominator of which is the total number of the hospital’s patient days for such period. 42 U.S.C. § 1395ww(d)(5)(F)(vi)(II) (emphasis added). We must decide whether this provision requires the Secretary to regard low-income individuals who receive medical services under a demonstration project approved pursuant to a § 1115 waiver—expansion population patients—as “persons eligible for medical assistance under a State plan approved under title