Increase Medicaid Reimbursement Rates for Essential Health Services

Published on November 21st, 2011

Summary

Providing services to Medicaid recipients, particularly emergency room and outpatient services, creates significant problems for providers who cannot meet their costs.  In addition, access to health care services is a significant problem for low- and moderate-income individuals, especially in rural areas and in inner cities, and dental, behavioral health and substance abuse services are limited due to inadequate payment rates and program funding.

Conference Position

The NYS Catholic Conference supports additional cost-based increases in the Medicaid reimbursement rates for emergency room, outpatient clinic, dental and behavioral health services, and alcohol and substance abuse programs.

Rationale

The continued erosion of revenue for institutional providers has placed even greater pressure on physicians’ and outpatient services which cannot adequately respond to their communities’ health care needs without sufficient reimbursements.

The availability of dental, behavioral health and substance abuse services, particularly in rural and inner city areas, is limited due to the insufficiency of Medicaid reimbursement rates for providers.  In communities where there is a provider that accepts Medicaid, chances are that there is only one location and accessing services is difficult if transportation is unavailable.

It is critical that reimbursement rates for these essential services must be increased in order to make necessary health services accessible to low- and moderate-income individuals.

You can download this document, Increase Medicaid Reimbursement Rates for Essential Health Services, in PDF form.

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