Oklahoma (OKAAP v. Fogarty, filed 2001)

April 2004 district court ruled in favor of OK AAP that rates paid to physicians be sufficient to provide adequate network for Medicaid patients

Currently OHCA pays physicians at least the same levels as Medicare

January 2007  U.S Court of Appeals (10th Circuit) reversed lower court’s decision

May 2007  Petition Filed with United States Supreme Court

Florida (FL Pediatric Society v. Levine, filed 2005)

January 2007  U.S. District Court denied Florida Medicaid motion to dismiss complaint

Litigation currently in discovery phase

September 2007 confidential settlement discussions began with the State.

Michigan (Westside Mothers, Michigan AAP v. Olsezewski, filed 1999)

August 2007 U.S. District Court approved a settlement in a federal lawsuit that will increase Medicaid reimbursement rates for physicians and dentists who treat children and expand access to the Medicaid program.

Federal

Currently working with members of Congress/AAP to propose and pass legislation to clarify Congressional intent to require EPSDT services for Children with Medicaid