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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/

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Medicaid Update: Transmittal #13-14 DC Medicaid Recovery Process when Medicare is the Primary Payer


Thursday, August 15, 2013

Federal regulations found at 42 CFR 433.139 require that DHCF recover payments when a liable third party such as Medicare is identified. Beginning October 1, 2013, DHCF will begin recovery activities for claims paid by Medicaid that were eligible for Medicare coverage on the dates of service. Xerox, on behalf of DHCF, intends to initiate the recovery of funds for claims paid by DC Medicaid that should have been billed to Medicare as the primary payer.

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