Sunday, June 5, 2011

Proposed Medicaid rate reductions for pediatric specialists.

Here is some final info that we have gotten:

This has bounced around a bit but here is where we finally ended up with the proposed Medicaid rate reductions for pediatric specialists.  As you know, we took a 3% rate reduction in April.   Medicaid informed us a few weeks ago that they were targeting pediatric specialist rates for an additional 7% reduction effective July 1st.    We worked closely with Pediatrix, SC AAP, and others to educate SC  DHHS and legislators  about the access to care issues that would be created by such drastic cuts.    As a result of these advocacy efforts, SC DHHS has agreed to the following:

·         Neonatologists are exempted from additional rate cuts effective July 1.   They will be working with SC DHHS on a special cost-savings initiative
·         All other pediatric specialists will take an additional 2% rate reduction effective July 1st.    This brings the total rate reduction for this group down to 5%.


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