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Transmittal 24-03 - Notification of Policy Change-Physician Administered Drug Reimbursement Rates


Friday, January 26, 2024

The purpose of this transmittal is to notify DC Medicaid Providers of a policy change regarding reimbursement rates for physician-administered drugs under the "Buy & Bill" policy. The Centers for Medicare and Medicaid Services (CMS) recently approved an update to the District of Columbia (DC) Medicaid State Plan. The State Plan Amendment allows the Department of Health Care Finance (DHCF) to modify the reimbursement methodology for physician-administered drugs.