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Department of Health Care Finance - DHCF
 

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Attention Medicaid beneficiaries: If you received a letter from CareFirst Community Health Plan DC-Experian regarding a data breach, 
click here to get the latest information.

For information on the Change Healthcare cybersecurity incidentclick here. DHCF operations have not been impacted at this time.

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Authority of Program Integrity to Investigate/Review Medicaid

Medical Records Reviews
Federal and State laws mandate identifying and recovering improper payments and other program integrity activities through audits, investigations and reviews. The following regulations, citations and/or memorandums listed below are for information purposes only; this is not an all-inclusive listing: 
 
Other Federal mandates and requirements:
 
Title: 29 Public Welfare  - Chapter: 29-13 Medicaid Program Administrative Procedures (http://dcregs.dc.gov/Gateway/ChapterHome.aspx?ChapterNumber=29-13)
 
Title: 29 Public Welfare  - Chapter: 29-19 HOME AND COMMUNITY-BASED SERVICES WAIVER FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTALDISABILITIES (http://dcregs.dc.gov/Gateway/ChapterHome.aspx?ChapterNumber=29-19)