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Transmittal 18-29: Revised Prescription Order Form (POF) for Long Term Care Services and Supports (LTCSS)

Thursday, October 4, 2018

The purpose of this transmittal is to inform you that the Department of Health Care Finance (DHCF) is revising its format for the Prescription Order Form (POF) to establish standards governing the assessment process for the level of need for beneficiaries who receive Long Term Services and Supports (LTSS). A streamlined version of the POF (version 9/12/18) was created as part of DHCF's continuous quality improvement processes to more appropriately reflect the Long Term Care Assessment Rule (Chapter 9, Section 989) of the District of Columbia Municipal Regulations. DHCF subsequently replaced version 2/21/17 on our website with the 9/12/18 form. Effective January 1, 2019, the LTSS Assessment Contractor, Liberty Healthcare, will only accept the newer version.