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Medicaid Update: Transmittal #13-03 District of Columbia Medicaid Managed Care Organizations

Monday, January 28, 2013

Pursuant to the terms of the contract entered into by the Managed Care Organizations (MCOs) and the District of Columbia, each DC Medicaid MCO is required to comply with the terms of the Salazar Settlement Order, including any subsequent Orders entered by the Court.  The Order sets the procedure for the MCOs to make and communicate to their enrollees, and make determinations on reimbursement claims that are submitted by an MCO enrollee to the MCO directly or to the Recipient Claims Research Team at the Department of Health Care Finance (DHCF).