The purpose of this transmittal is to inform all DC Medicaid Skilled Nursing Service Providers that for dates of service effective October 1, 2025, the Department of Health Care Finance (DHCF) adjusted the skilled nursing service rates. Skilled nursing service reimbursement rates are updated in accordance with authority provided in the District of Columbia Medicaid State Plan at Attachment 4.19B, Part I, pages 4-4e, 29 DCMR §4200 et seq., and 29 DCMR §9000 et seq. Claims dated on or after October 1, 2024.