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Read DHCF’s First Access Monitoring Review Plan for the FFS Medicaid Program

On October 1, 2016 DHCF submitted the first Access Monitoring Review Plan for the District’s fee-for-service (FFS) Medicaid program to the Centers for Medicare and Medicaid Services (CMS).  In the Access Plan, DHCF analyzes access to six categories of health care services in FFS Medicaid: primary care, physician specialist services, behavioral health, home health, pre- and post-natal obstetrics, and other services selected due to access concerns.  The District completed its Access Plan in response to federal Medicaid provisions (Section 1902(a)(30)(A) of the Social Security Act and 42 CFR 447) that require states to provide CMS with a baseline assessment of whether access to services under their FFS Medicaid programs is comparable to those provided by other public and private programs.