Thursday, May 18, 2023
The purpose of this transmittal is to serve as a reminder that the Department of Health Care Finance (DHCF) requires District of Columbia (DC) Medicaid participating pharmacies to distribute individualized written notices to Medicaid beneficiaries whose prescription medication claim request is denied after adjudication at the pharmacy POS. This applies to all beneficiaries who are served by DC Medicaid, including those enrolled in all DC Medicaid Managed Care Plans (MCPs).