Sorry, you need to enable JavaScript to visit this website.

dhcf

Department of Health Care Finance - DHCF
 

DC Agency Top Menu

Publications

 
The purpose of this transmittal is to update providers on Department of Health Care Finance’s (DHCF) recent revision to the Level I Preadmission Screen for Resident Review for Serious Mental Illness and Intellectual Disability or Related Conditions (PASRR).…
 
This transmittal serves three purposes:
 
1.     To clarify the guidelines for District of Columbia (DC) nursing facility admission.
2.
Over the past several months the Department of Health Care Health conducted trainings for over 220 providers and their staff, sister agencies, and other stakeholders to explain new rules regarding Long Term Care Financial eligibility. These changes are effective July 1, 2015.
…
As part of the federal mandate for implementing these edits, DHCF is required to re-adjudicate all claims for service dates on or after October 1, 2012 that could be impacted by these edits.

Personal Care Services Notice of Final Rulemaking

Transmittal 14-25 notified Medicaid providers of the pending schedule changes to the DC Medicaid Fee Schedule. The current DC Medicaid Fee Schedule will be updated effective August 1, 2015.

The purpose of this update is to provide clarification with respect to the reimbursement for laboratory services billed by professional providers.  Professional providers are those who submit claims to DC Medicaid on a CMS-1500 claim form.

Transmittal 14-25 notified Medicaid providers of the pending schedule changes to the DC Medicaid Fee Schedule. The current DC Medicaid Fee Schedule will be updated effective August 1, 2015.

Beginning on August 1, 2015, all Home Health Agencies will be required to bill individual claims with the specific PCA’s NPI number on the claim when multiple PCA’s provide service on the same day.

Public Notice Medicaid Fee Schedule Updates for Laboratory Services

Subscribe to Publications List