This transmittal is a revision to Transmittal 26-03, first published on January 7, 2026. This transmittal notifies all D.C. Medicaid-enrolled providers that they must, at all times, comply with language access compliance responsibilities for beneficiaries enrolled in either the D.C. Medicaid or the Health Care Alliance programs. This revision updates the points of contact at each service delivery provider for questions regarding accessing language services.