All District of Columbia Medicaid Providers:

Third Medicaid-Reimbursable Telemedicine Services Notice of Emergency and Proposed Rulemaking and Provider Guidance

The purpose of this transmittal is to notify all Medicaid providers of the third emergency and proposed rule and updated provider guidance related to Medicaid reimbursement for services delivered via telemedicine.  The rule outlines the standards governing eligibility for Medicaid beneficiaries receiving healthcare services via telemedicine under the Medicaid fee-for-service program and the conditions of participation for providers who deliver healthcare services to Medicaid beneficiaries via telemedicine.

On Friday, February 23, 2018, DHCF’s Third Medicaid-Reimbursable Telemedicine Services Notice of Emergency and Proposed Rulemaking was published in the DC Register. Per the notice, the emergency rulemaking was adopted on February 12, 2018 and shall become effective for eligible services rendered on or after that date.  Public comments on this rule will be accepted until March 26, 2018. This rule is also located on DHCF’s website at https://dhcf.dc.gov/.

Please see the attached telemedicine provider guidance document for additional information on which providers are eligible to bill for services delivered via telemedicine, which services are eligible to be delivered via telemedicine, and how providers should bill for these services.

If you have any questions regarding this transmittal please contact the Division of Public and Private Provider Services by telephone at (202) 698-2000.