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GA Adjustment
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