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Transmittal 19-26_Billing Guidance for Medicaid Section 1115 Behavioral Health Transformation Demonstration Services


Thursday, December 19, 2019

The purpose of this transmittal is to outline which entity—either a beneficiary's Managed Care Organization (MCO) or the Department of Health Care Finance (DHCF)—enrolled Medicaid providers shall bill for services under the District's Medicaid Section 1115 Behavioral Health Transformation Demonstration waiver, effective January 1, 2020. This document and Tables 1 and 2 below provide more information.