The state health department on Tuesday will start paying many private health care providers less money for taking care of Medicaid patients.

The payment rate cuts are part of the Department of Health and Hospitals' budget reductions for the current fiscal year. Jerry Phillips, state Medicaid director, says the cuts will save an estimated $86 million this year.

State health officials say it will take about a month to fully implement the rate changes.

Among the cuts, private hospitals around the state will be paid 5 percent to 6 percent less for services, depending on the type. Doctors who care for patients older than 16 will get paid 10 percent less.

Health and Hospitals Secretary Alan Levine says he also is considering requiring adults in the Medicaid program to pay a co-pay if they use emergency rooms for non-emergency care.