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Department of Health Care Finance - DHCF
 

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The Department of Health Care Finance (DHCF) hereby gives notice of the intent to submit amendments to the District of Columbia State Plan for Medical Assistance (State Plan) to the Centers for Medicare & Medicaid Services (CMS) for review and approval.

The purpose of this communication is to introduce a modified process to request Managed Care Plan (MCP) enrollment, disenrollment, and transfer (MCP change). 

The purpose of this transmittal is to inform the District of Columbia (DC) Medicaid Providers that two (2) Prior Authorization (PA) requirements will resume on April 14, 2025.  

In keeping with requirements of the Salazar Settlement Order (Salazar v. District of Columbia, Civil Action No. 93-452 (TSC) (D.D.C.)), this is the annual transmittal of the Notice of Reimbursement Procedures for Non-Managed Care Class Members’ Out-of-Pocket Medical Expenses, for D.C.

In celebration of National Children’s Dental Health Month in February, the purpose of this transmittal is to inform dental and Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) providers of the state of children’s oral health in the District of Columbia (DC), and of Medicaid-…

Pursuant to the terms of the contract entered into by the Managed Care Plans (MCPs) and the District of Columbia, each DC Medicaid MCP is required to comply with the terms of the Salazar Settlement Order, including any subsequent Orders entered by the Court in Salazar v.

The purpose of this transmittal is to notify Mental Health Rehabilitative Services (MHRS), Adult Substance Use Rehabilitative Services (ASURS), Free-Standing Mental Health Clinic (FSMHC), and Mental Health and Substance Use Disorder Supported Employment providers that the District of Columbia…

This transmittal provides updates and notice on Calendar Year (CY) 2025, Distribution of Direct Care Service Provider Supplemental Payment (DCSP) for enhanced wages to direct care professionals (DCP).

DHCF PRESCRIPTION ORDER FORM (POF)

DISTRICT OF COLUMBIA DHCF PRESCRIPTION ORDER FORM (POF)FOR LONG TERM CARE SERVICES AND SUPPORTS

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