The purpose of this Transmittal is to inform all DC Medicaid Skilled Nursing Service Providers that effective with dates of service beginning October 1, 2021, the Department of Health Care Finance (DHCF) will make changes to the skilled nursing service rates. Skilled nursing service reimbursement rates are updated in accordance with authority provided in the District of Columbia Medicaid State Plan at Attachment 4.19B, Part I, pages 4-4e, 29 DCMR §4200 et seq., and 29 DCMR 9000 et seq. Providers who have submitted claims using the superseded rate schedule can resubmit the claims as adjustments using the new fee schedule for reprocessing.