The purpose of this transmittal is to notify Nursing Home providers participating in the District’s Medicaid program of the temporary enhanced reimbursement rates during the pendency of the federal Public Health Emergency (PHE) period. The Department of Health Care Finance (DHCF) is requesting a Medicaid Disaster Relief State Plan Amendment from the Centers for Medicare and Medicaid Services (CMS). State Medicaid agencies may seek to implement the policies and procedures which are different than the policies and procedures otherwise applied under the Medicaid state plan, during the period of the Presidential and Secretarial emergency declarations related to the COVID-19 outbreak. The enhanced reimbursement rates are twenty percent (20%) increases to the fiscal year 2020 nursing facility case-mix neutral base rates. These enhanced reimbursement rates are temporary and effective for services provided and claims submitted beginning March 11, 2020 and sunsetting at the end of the federal Public Health Emergency (PHE).