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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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Transmittal 21-54 (rev) - Reimbursement for PT OT and ST Rates


Thursday, April 7, 2022

This transmittal supersedes Transmittal # 21-54: Reimbursement rate changes for Physical Therapy (PT), Occupational Therapy (OT), Speech and Language Therapy (ST), issued on December 30, 2021. This revision removes the modifier for Occupational Therapy – Hourly. The changes to the rates reflect the increase in the Living Wage. Claims previously submitted for State Plan Occupational Therapy using procedure code/modifier combination G0152-U4, were denied. Please resubmit the denied claims using the correct procedure code described in the table below.