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Immigration Status List - Spanish

Immigration Status List - Spanish

Medicaid Update: Transmitta​l 14-29 New Billing Requirements for Pediatric Primary Care Providers

This transmittal outlines the new billing requirements for pediatric primary care providers to bill for EPSDT well-child visits. The EPSDT Billing Manual and DC HealthCheck Periodicity Schedule have been updated to include these changes.

Conflict of Interest Statement

Conflict of Interest Statement

Authorized Representative Form

Authorized Representative Form

Authorized Representative Form - Spanish

Authorized Representative Form

Grievances/Appeals
What is the Health Benefits Plan Members’ Bill of Rights?
 
The Health Benefits Plan Members’ Bill of Rights is a District of Columbia law that gives any member of a Health Maintenance Organization (HMO) or other health insurance plan the right to appeal if…
Medicaid Update: Transmitta​l 14-28 Update to the Hospice Payment Rates for Fiscal Year 2015

Payment rates for hospice care, the hospice aggregate cap amount, and the hospice wage index are updated annually.

Medicaid Update: Transmittal 14-24 Medicaid Coverage of Long Acting Reversible Contraception

The purpose of this Transmittal is to inform all of information regarding Medicaid Coverage of Long Acting Reversible Contraception. 

Pediatric Level of Care Determination Form

Pediatric Level of Care Determination Form

TEFRA/Katie Beckett Care Plan Form

TEFRA/Katie Beckett Care Plan Form

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