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2021 DHCF Medicaid Updates

2021 Listing

Search Archive of Transmittals

9-08-21 Transmittal 21-37 Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccines – Addition of Third Doses for Pfizer and Moderna Vaccines for Immunocompromised People

9-08-21 Transmittal 21-36 Attending Provider Enrollment and NPI Requirements for Institutional Claims

9-08-21 Transmittal 21-29 (rev.) Home Health Agency (HHA)Living Wage Rate Changes Effective July 1, 2021

9-08-21 Transmittal 21-35 Implementation of the IDD Waiver DSP Supplemental Payment Program

8-25-21 Transmittal 21-34 - 2019 Retroactive Payment of State Supplement and January 2020 and 2021 Payment Levels

8-11-21 Transmittal 20-10 (rev.) - Temporary Eligibility Policy Changes for Medicaid, Children’s Health Insurance Program (CHIP), Alliance, and Immigrant Children’s Programs in Response to Public Health Emergency (PHE) COVID-19

8-11-21 Transmittal 21-33 - Updates to the Professional Services Billing Codes and Reimbursement Rates for COVID-19 Monoclonal Antibody Infusions

8-11-21 Transmittal 21-32 - Living Donor Organ Transplantation Coverage for Fee-For-Service (FFS) and Managed Care Enrollees Update on Coverage Policy and Clarification of Prior Authorization and Claims Processing Procedures

8-06-21 Transmittal 21-31 - Fee-For-Service Coverage of Pediatric Immunizations and Administration for Medicaid and Immigrant Children’s Program Beneficiaries

8-06-21 Transmittal 21-27 (rev.) - Reimbursement Rate Changes for Physical Therapy (PT), Occupational Therapy (OT), Speech and Language Therapy (ST)

7-12-21 Transmittal 21-30 Update of Select DME Fee Schedule Rates

6-30-21 Transmittal 21-29 Home Health Agency (HHA) Living Wage Rate Changes Effective July 1, 2021

6-30-21 Transmittal 21-28 Temporary Enhanced Reimbursement Rates for Assisted Living Facilities Due to COVID-19

6-30-21 Transmittal 21-27 Reimbursement Rate Changes for Physical Therapy (PT), Occupational Therapy (OT), Speech and Language Therapy (ST)

6-30-21 Transmittal 21-26 Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccine

6-30-21 Transmittal 21-25 Medicaid Fee Schedule Updates to the Temporary Enhanced Reimbursement Rates for District ICFIID Due to COVID-19

6-22-21 Transmittal 21-24 Nursing Facility Roles and Responsibilities When Admitting Managed Care Organization (MCO) Enrollees

6-11-21 Medicaid Update: Transmittal #21-23 Managed Care Program Authorization Guidance for SUD Residential Treatment Services

6-11-21 Medicaid Update: Transmittal #21-22 FFS Authorization Guidance for SUD Residential Treatment Services

6-09-21 Medicaid Update: Transmittal 21-21  Dental Prior Authorizations

6-07-21 Medicaid Update: Transmittal 21-20 Implementation of the DSP Supplemental Payment Program

5-25-21 Medicaid Update: Transmittal 21-19 Updates to the Laboratory Billing Codes and Reimbursement Rates for COVID-19 Testing

5-24-21 Medicaid Update: Transmittal 21-18- Updates to the Professional Services Billing Codes and Reimbursement Rates for COVID-19 Monoclonal Antibody Infusions

5-20-21 Medicaid Update: Transmittal 21-17 DC Medicaid Promoting Interoperability/Electronic Health Record Incentive Program

5-20-21 Medicaid Update: Transmittal 21-16 Time-Limited Opportunity for Medicaid Providers to Receive No-Cost Technical Assistance and Connectivity Fees to Access the DC HIE

4-15-21 Medicaid Update:  Transmittal #21-07 (rev.) - Provider to Beneficiary Education and Counseling for the COVID-19 Vaccine

3-25-21 Medicaid Update: Transmittal 21-15 UPDATED Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccines

3-18-21 Medicaid Update: Transmittal 21-14 Notice of Annual Pricing Update to the Medicaid Fee-For-Service (FFS) Fee Schedule

3-18-21 Medicaid Update: Transmittal 21-13 PrEP and PEP Coverage for Medicaid Beneficiaries Enrolled in MCOs

3-18-21 Medicaid Update: Transmittal 21-12 Acceptable Dispense As Written (DAW) Codes for Submitted Pharmacy Claims

3-18-21 Medicaid Update: Transmittal 21-10 (rev.) Chronic Hepatitis C Treatment Coverage Policy: Removal of Minimum Fibrosis Score Requirement for Mavyret® and Vosevi®

3-05-21 Medicaid Update: Transmittal # 21-05 (rev.) REVISED: Hospital Services Billing Codes and Reimbursement Rates for COVID-19 Vaccine Administration

3-02-21 Medicaid Update: Transmittal 21-11 Professional Services Billing Codes and Reimbursement Rates for Administration of COVID-19 Monoclonal Antibody Infusions

3-01-21 Medicaid Update: Transmittal 21-10 Chronic Hepatitis C Treatment Coverage Policy: Removal of Minimum Fibrosis Score Requirement

2-24-21 Medicaid Update: Transmittal 21-09 Termination of the District of Columbia’s Human Care Agreement FFS Dental Benefit Manager (Quality Plan Administrators)

2-23-21 Medicaid Update: Transmittal 21-08 - Program Year 2020 of the DC Medicaid Promoting Interoperability/EHR Incentive Program will close on March 15, 2021

2-23-21 Medicaid Update: Transmittal 21-07 - Provider to Beneficiary Education and Counseling for the COVID-19 Vaccine

2-23-21 Medicaid Update: Transmittal 21-06 National Children's Dental Health Month, Dental Procedures and Billing Requirements

2-08-21 Medicaid Update: Transmittal 21 - 05 COVID-19 Vaccines Hospital Billing Codes and Reimbursement Rates

1-27-21 Medicaid Update: Transmittal 21-04 - Reimbursement of Out-of-Pocket Expenditures for Managed Care Medicaid Beneficiaries

1-27-21 Medicaid Update: Transmittal 21-03 - Reimbursement of Out-of-Pocket Expenditures for Non-Managed Care Medicaid Beneficiaries

1-08-21 Medicaid Update: Transmittal #20-36 - REVISED Temporary Enhanced Reimbursement Rates for Adult Substance Abuse Rehabilitation Services (ASARS) Due to COVID-19

1-04-21 Medicaid Update: Transmittal 21-01 - 2021 HCPCS & CPT Code Updates

1-04-21 Medicaid Update: Transmittal 21-02 - Updates to ADHP Rates and Modifiers, and New Temporary Reimbursement Rates and Modifiers for ADHP Services Due to COVID-19