some form of private health insurancecoverage; insurers have paid only 2percent of the costs of services. As partof a series of program reforms enacted April 1, 2013, participating therapistsnow bill insurers through DOH’scontracted fiscal agent. These reformsprovide fiscal and mandate relief for local governments.Since April 1, 2013, under this newsystem, DOH, through its fiscal agent,has issued payments to providerstotaling more than $133 million,including Medicaid and localgovernment funding. Unfortunately,most insurance payments remainoutstanding resulting in cash flowproblems for providers. While nearly400,000 claims have been submitted byproviders to insurers, only about 75,000 – less than 20 percent - have beenadjudicated.