This transmittal provides updates on the State Plan and the Elderly and Persons with Disabilities (EPD) Waiver Adult Day Health Program (ADHP) services per diem rates and modifiers and replaces earlier guidance on temporary reimbursement rates for ADHP services established during the COVID-19 public health emergency (PHE) as provided in DHCF Transmittal # 21-02. Updates are made in accordance with requirements set forth under Title 29 (Public Welfare) § 9723 (ADHP Reimbursement Policy) and § 4209 (EPD Waiver Reimbursement) of the District of Columbia Municipal Regulations The updates to the State Plan and EDP Waiver ADHP rates are due to a skilled nursing market basket index inflation factor increase and will be effective for dates of service on January 1, 2023, or later.