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Transmittal 18-27-Medicaid Managed Care Network Provider Enrollment in DC Medicaid

Friday, September 7, 2018

In 2016, the Department of Health Care Finance (DHCF) informed the Medicaid Managed Care Organizations of the 21st Century Cures Act, Section 5005 (b) which mandates that effective January 1, 2018, all providers must be enrolled with the District of Columbia (DC) Medicaid Program in order to participate in an MCO provider network. This requirement is applicable to all managed care network provider types including those who only order, refer, or prescribe (ORP) services to DC Medicaid beneficiaries.