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Department of Health Care Finance - DHCF
 

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Attention DC Medicaid and Alliance Beneficiaries: Please click here to get information on the recent DHCF data incident.

 

Transmittal 24-03 - Notification of Policy Change-Physician Administered Drug Reimbursement Rates


The purpose of this transmittal is to notify DC Medicaid Providers of a policy change regarding reimbursement rates for physician-administered drugs under the "Buy & Bill" policy. The Centers for Medicare and Medicaid Services (CMS) recently approved an update to the District of Columbia (DC) Medicaid State Plan. The State Plan Amendment allows the Department of Health Care Finance (DHCF) to modify the reimbursement methodology for physician-administered drugs.