Saint Mary’s, Health Plan of Nevada tussle over Medicaid payments

Saint Mary’s Health Network in Reno, Nev., may break its contract with Health Plan of Nevada over disagreements regarding Medicaid coverage, reports Reno Gazette-Journal.

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Saint Mary’s has threatened to stop accepting HPN Medicaid, Medicare and commercial policyholders Oct. 19 if ongoing issues with the carrier are not resolved.

“This termination is a result of contract terms that were not upheld by HPN, which continues to engage in a deliberate and regular practice of denying payment and/or underpaying Saint Mary’s for medical services provided to its members,” Saint Mary’s spokesperson Jamii Uboldi said in a statement.

Health Plan of Nevada parent company UnitedHealthcare said it has not received specific information regarding Saint Mary’s Health Plan’s allegations against the health plan, according to Reno Gazette-Journal.

Health Plan of Nevada has 57,000 members enrolled in Medicaid, Medicare and commercial products.

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