Publications
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 provide public notice of the intent to submit a State Plan Amendment to the Centers for Medicare & Medicaid Services (CMS).
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.
The purpose of this transmittal is to inform Adult Foster Care Home Operators, which include Community Residential Facilities and Assisted Living Facilities, of the calendar year 2022 retroactive payments of State Supplement, and the changes to the Optional State Supplement Payment (OSSP) for…
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 purpose of this transmittal is to Provide an update to the DC Medicaid coverage policies for organ transplantation for Medicaid Fee-For-Service (FFS) and Managed Care Plan (MCP) enrollees.
This transmittal provides updates and notice on Calendar Year (CY) 2024, Distribution of Direct Care Service Provider Supplemental Payment (DCSP) for enhanced wages to direct care professionals (DCP).
The purpose of this transmittal is to notify HHA providers of changes to the reimbursement rates for Personal Care Aide (PCA) services provided by the HHA to reflect the increase in the Living Wage.
The purpose of this transmittal is to notify Home Health Agency (HHA) providers of the Department of Health Care Finance’s (DHCF’s) intent to submit an amendment to the State Plan for Medical Assistance (State Plan) to effectuate changes to the reimbursement rates for PT, OT and ST services…