Sorry, you need to enable JavaScript to visit this website.

dhcf

Department of Health Care Finance - DHCF
 

DC Agency Top Menu

Public Notice: Due to the MMIS conversion the last provider payment from Conduent was issued on February 27. There will be no payment issued on March 6, and the first post‑conversion payment will be issued on March 13. For more information visit https://medicaid.dc.gov/

-A +A
Bookmark and Share

Becoming an EPD Waiver Provider

Long-Term Care Services and Supports: Provider Enrollment Process updates (Effective 3/1/26)

The updated provider enrollment framework makes several key enhancements, including an update to the Provider Enrollment Policy and Procedures, a revised updated Financial Viability Assessment by DHCF-ORRFA, and a structured pre- and post-enrollment site visit process for all EPD waiver providers- both prospective and existing, conducted by DHCF’s Provider Enrollment vendor, Maximus. Additionally, updates will be reflected on the LTCA Provider Enrollment webpage to ensure transparency and accessibility.

These changes are designed to ensure uniformity in the screening process through a standardized review approach and to strengthen the desk review elements, ensuring that all reviews of applications are substantive and aligned with Local and Federal requirements.

Step 1: Expression of Interest

Prospective providers should begin by reviewing the Medicaid and EPD Waiver Program Overview. If, after reviewing the information, you remain interested, use the Technical Assistance and Training portal here TA & T Link to register for the mandatory information session.

Upon registration, you will receive a confirmation email with the session schedule and details. Attendance is required, as the session provides essential guidance on program requirements and next steps. After participating, prospective providers may submit a formal Letter of Intent (LOI) based on the information learned, followed by completing the full application process as outlined during the session.

Step 2: Mandatory Prospective Provider Information Session

All prospective providers must attend a formal information session coordinated by LTCA. These sessions are held quarterly on an ad hoc basis when necessary. Requests for ad hoc sessions must include a documented exigent or reason and receive prior approval from DHCF/LTCA leadership.

Session Content Includes:

Overview of the Department of Health Care Finance (DHCF) mission.

  • DHCF’s commitment to federal assurances and performance goals for administering home and community-based waiver services.
  • Review of program details, current trends, and service needs.
  • Comprehensive explanation of the provider enrollment process.
  • Opportunity for participants to ask questions and receive technical assistance.

Participation of Key Personnel: Prospective providers should ensure that key personnel, such as the administrator, owner(s), and quality assurance director, attend the session.

Step 3: Submit a Letter of Intent (LOI)

After successfully attending the mandatory information session, prospective providers must submit a formal LOI to LTCA using the LOI link within 10 business days. The LOI must include:

  • Agency name with proof of incorporation in the District of Columbia.
  • Primary contact information (mailing address, business email, and phone number).
  • Brief description of services provided.
  • Statement of readiness to deliver the services for which the application will be submitted.
  • Confirmation of participation in the mandatory information session.
  • The LOI must demonstrate understanding of the relationship between Medicaid State Plan services and EPD Waiver services relevant to the requested service type.

LTCA Response:

Within 10 business days of receiving the LOI, LTCA will respond via email to either request corrections or acknowledge receipt of a complete LOI. The response will include next steps and resources such as enrollment process overviews and application checklists.

Step 4: Submit Application via Provider Data Management System (PDMS)

After attending the information session and submitting the LOI:

  • Prospective providers have 90 days to submit the application through the Provider Data Management System (PDMS) at www.dcpdms.com.
  • DHCF’s enrollment vendor will conduct an initial review to ensure all required documents are included before forwarding the application to DHCF.

Note:

  • The formal review process begins only after a complete application packet has been submitted through PDMS.
  • Informal inquiries via email or phone will not be accepted. The mandatory information session is designed to provide comprehensive guidance, including: Instructional materials, self-help resources, checklists and tools to assist prospective providers in completing their application.

All questions or requests for support outside the mandatory information session must be submitted through the designated formal channels:

LTCA Question Board: For general inquiries

Technical Assistance & Training (TA&T) Portal: For training or technical assistance requests, limited to items not covered during the mandatory information session

PDMS Communication: All application-related review correspondence, including application decisions, inquiries, and updates, will be available within the provider’s electronic application file in PDMS

More Resources