DMGMA Blog » Reimbursement cuts http://blog.dmgma.com Delaware Medical Group Management Blog Thu, 22 Apr 2010 01:31:18 +0000 en hourly 1 http://wordpress.org/?v=3.2.1 State of Delaware Reimbursement Cuts http://blog.dmgma.com/state-of-delaware-reimbursement-cuts/ http://blog.dmgma.com/state-of-delaware-reimbursement-cuts/#comments Tue, 31 Mar 2009 19:18:44 +0000 Rick Creveling http://blog.dmgma.com/?p=76 Please file this one under – “Don’t shoot the messenger.” This tidbit comes from Judith Potts, Sr. Business Analyst for Delaware Healthcare Services at EDS. She can be reached at JudithPotts@eds.com
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The State of Delaware is facing unprecedented economic challenges. Despite the influx of a significant amount of federal funds as a result of the American Recovery and Reinvestment Act, forecasted revenues for state fiscal years 2009 and 2010 still fall short of sustaining current state spending levels. For this reason, the Governor introduced a revised Recommended Budget.

Delaware’s Constitution requires that budgeted spending not exceed 98% of projected revenues for any fiscal year.
To balance FY09 and FY10 budgets, agency spending must be reduced, including spending for medical assistance programs, such as Medicaid and CHIP. Accordingly, certain providers’ Delaware medical assistance program rates will be changed effective April 1, 2009.

Effective for physician, lab, and outpatient radiology claims paid on or after 4/01/09, for claims that are based on the Medicare rate, rates shall be set at 98% of the Medicare rate until further notice.

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