Department of Medical Assistance Services (602)
Request Title | Restore emergency room payment reduction for physicians |
Biennium | 2014-2016 |
Budget Round | Initial Bill |
Half Sheet Number | 301#13s |
Description
This amendment eliminates language and continues the current practice reducing emergency room (ER) physician fees for non-emergency visits to hospitals in the Medicaid fee-for-service program, resulting in savings of $430,000 each year in the general fund and a like amount of federal Medicaid matching funds. The program was put in place in the early 1990s to incentivize emergency rooms to triage and divert non-emergency patients to more appropriate and cost-effective settings. The introduced budget added language to eliminate this practice of reducing payments for ER physician claims in the Medicaid fee-for-service program only. It did not require the elimination of this policy in the Medicaid managed care program. |
Funding Details
By Program | Program Code | Program Title | FY 2014 | FY 2015 |
456 | Medicaid Program Services | ($860,000) | ($860,000) | |
By Fund | Fund Code | Fund Title | FY 2014 | FY 2015 |
0100 | General Fund | ($430,000) | ($430,000) | |
1000 | Federal Trust | ($430,000) | ($430,000) |
Authorized Position Details
By Program | Program Code | Program Title | FY 2014 | FY 2015 |
p3_opview - Official Enacted Budget View Operating Bullet Details - 06-06-2025 12:58:50