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Medicaid Update: Transmittal 16-14 -New Policies and Processes for Newborns Enrollment into DC Medicaid


Monday, May 23, 2016
The Department of Health Care Finance, in collaboration with the Department of Human Services Economic Security Administration (ESA), is changing its policies and procedures to improve our agencies' ability to effectively enroll and track newborns eligible for Medicaid. This transmittal provides new policy and procedural guidance to DC Medicaid hospital providers on the submission and enrollment process for newborn babies born to Medicaid fee-for-service mothers. Previously, both hospitals and managed care organizations (MCOs) were submitting enrollment information to ESA when they became aware of a newborn birth. However, this policy resulted in duplicate and delayed enrollments and created challenges with tracking the enrollment status for newborns. (fillable form can be found on DHCF's Website)