A top Oklahoma health official is warning that the budget crunch may force the Oklahoma Health Care Authority to cut payments to mid-level medical providers such as nurse practitioners and physician assistants, which providers say could lead to the closing of rural clinics.
Facing a $611 million budget gap, state leaders say most agencies will see spending cuts, or at best, a flat budget. But even with a flat budget, Health Care Authority officials said, many low-income residents could see a reduction in health care access and services.
Budget documents released by the Authority indicate the agency is proposing more than $40 million in budget reductions for the 2016 fiscal year. Those cuts range from $2.9 million in administrative cuts to a $5.2 million, or 15 percent, reduction in reimbursement amounts paid to nurse practitioners, physician assistants, physical therapists and other mid-level providers.
Doctors could see reimbursement rate cuts of about 2 percent, lawmakers said.
The reductions would lower fee-for-service payments to 85 percent of the Authority’s physician fee schedule.
About 3,250 providers would be affected.