El Paso Children’s Hospital comes to agreement with Medicaid program

El Paso News

El Paso Children’s Hospital announced the renegotiation of their contract with Superior HealthPlan Wednesday, a move that will ensure ongoing treatment for thousands of children insured through Medicaid in El Paso County. 

As KTSM reported earlier this month, the contract negotiations between EPCH and Superior were in jeopardy after the two entities failed to come to an agreement on the March 21 deadline.

“We are pleased we were able to reach a fair agreement with Superior that allows us to continue to be in-network and provide the best pediatric care to the children of El Paso and our surrounding region,” said CEO Cindy Stout.

EPCH is the only certified Children’s Oncology group in El Paso currently able to enroll patients into clinical trials and is also the only Pediatric ICU with round the clock specialist coverage, according to Stout.

Maria Luna, whose son Jesus has Down Syndrome and has acute lymphoblastic leukemia, has been a patient at EPCH since November 2017.

“To think that my son, who has grown to love his nurses and doctors like family, might have had to go to another hospital or worse, had to take him outside of El Paso for treatment, would have broken my heart. I have a small daughter at home and I wouldn’t even have known how to move forward,” Luna said.

Luna isn’t alone. More than 130,000 children in El Paso County are currently covered by some form of Medicaid according to Stout. 

The contract negotiations which include all Medicaid Managed Care Organizations (MCOs) were in an effort for the hospital to continue providing quality care at fairly reimbursed rates for services, Stout said in a statement. 

The last time EPCH and Superior negotiated their contract was in 2012. 

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