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Conflict-Free Case Management

To Elderly and Persons with Disabilities (EPD) Waiver Providers:
 
On Friday, July 10, DHCF’s Conflict-Free Case Management Services Notice of Emergency and Proposed Rulemaking was published in the DC Register. You can also find it on DHCF’s website at http://dhcf.dc.gov/node/1090492.  
 
Per the notice, the emergency rulemaking was adopted on July 1, 2015 and shall become effective for services rendered on or after that date.
 
As part of this notice, there are a series of deadlines providers must be aware of:
 
  • An individual providing EPD waiver case management services on the effective date of these rules shall have sixty (60) days (until September 1, 2015) from the effective date of these rules to meet the requirements laid out in the rule.
  • Within sixty (60) days from the effective date of these rules (by September 1, 2015), EPD Waiver case management service providers shall ensure they have a copy of the DHCF Conflict-Free Case Management Self-Attestation Form (see attached) on file for each case manager prior to submission of any claims for case management services provided by that case manager.  DHCF Conflict-Free Case Management Self-Attestation Forms are subject to inspection and audit and must be produced upon request.
  • An entity described in the rule shall notify DHCF of its election to continue or discontinue providing case management services within sixty (60) days of the effective date of these rules, and must submit a completed DHCF Conflict-Free Case Management Provider Decision Form to DHCF ([email protected]) by September 1, 2015. 
  • An entity that chooses to discontinue case management services shall securely submit the DHCF Conflict-Free Case Management Transition Template to DHCF ([email protected]) within ninety (90) days (by October 1, 2015) of the effective date of these rules and shall cooperate with DHCF to effectuate the orderly and timely transition of its enrollees to other case management providers that meet the conflict-free case management standards.  
 
If you have questions, please submit these via email to [email protected].