DHH Announces
Medicaid Cuts to Physicians
As
a result of a budgetary shortfall, the Department of Health and Hospitals (DHH) Bureau of Health Services Financing has adjusted
reimbursement rates paid for physician services to avoid a budget deficit in the medical assistance programs. It is estimated
that implementation of this Emergency Rule will reduce payments to physicians through the Medicaid Program by approximately
$18,455,238 for state fiscal year 2009-2010.
Effective for dates of service on or after August 4, 2009, the reimbursement for all physician services rendered to recipients 16 years of age or older
shall be reduced to 80 percent of the 2009 Louisiana Medicare Region 99 allowable or billed charges whichever is the lesser
amount. The following physician services are excluded from the rate adjustment: a. preventive medicine evaluation and management;
b. immunizations; c. family planning services; and d. select orthopedic reparative services.
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Read DHH Emergency Rules, effective August 4, 2009
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Interested persons may submit written comments to Jerry Phillips, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge,
LA, 70821-9030.
