Tenet, HCA among dozens of providers challenging Medicaid outpatient rates in Florida

Dozens of hospitals across Florida have filed administrative challenges against the state over reimbursement rates for outpatient care provided to Medicaid beneficiaries.

Florida's Agency for Health Care Administration proposed changes in 2016 that would reduce outpatient payment rates for care provided to Medicaid beneficiaries. In their legal challenge to the proposed changes, the hospitals argue the AHCA overstepped its authority and the proposed rule is invalid, according to the News-Press.

One of the hospitals challenging the proposed payment cut is Fort Myers, Fla.-based Lee Health, which estimates its Medicaid reimbursement will decrease by $4.9 million if the proposed changes are implemented.

Others challenging the proposed reimbursement cut include hospitals owned by Dallas-based Tenet Healthcare and hospitals in Nashville, Tenn.-based HCA's network, according to the report.

Administrative Law Judge J. Lawrence Johnston has been assigned to the hospitals' consolidated case.

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