Publications
This transmittal provides notice of coverage and reimbursement for additional HCPCS and CPT codes related to COVID-19 diagnostic testing for fee-for-service providers and for providers enrolled in Medicaid Managed Care Organization (MCO) networks.
This transmittal provides notice of coverage and reimbursement for fee-for-service providers that bill HCPCS and CPT codes on CMS-1500 claim forms for COVID-19 vaccine administration in the professional fee schedule, and for providers enrolled in Medicaid Managed Care Organization (MCO) networks…
This transmittal announces that the Department of Health Care Finance (DHCF) will cover the cost or reimburse Medicaid beneficiaries for Food and Drug Administration (FDA) approved COVID-19 test kits purchased by the Medicaid beneficiary. The transmittal details the process for reimbursement.
This transmittal provides notice of coverage and reimbursement for the antiviral drug therapy, remdesivir, in the professional fee schedule for fee-for-service providers that bill HCPCS and CPT codes on CMS-1500 claim forms, and for providers enrolled in Medicaid Managed Care Organization (MCO)…
The purpose of this transmittal is to increase a prior limit on the maximum number of service hours that an individual personal care aide (PCA) can provide. This transmittal amends guidance previously issued in Transmittal #17-29: Enrollment of Personal Care Aides.
This transmittal provides updates on the EPD Waiver Chore and Homemaker services fee schedule rates and units. The updates correct an identified discrepancy between the EPD Waiver fee schedule and national standards for the procedure codes.
In celebration of National Children’s Dental Health Month in February, the purpose of this transmittal is to inform dental and EPSDT providers of the state of children’s oral health in the District of Columbia, and of Medicaid-covered oral health procedures…
The purpose of this transmittal is to announce that DHCF has entered into a new contract with a Medicare Advantage Organization (MAO) operating a Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP), UnitedHealthcare.
This transmittal supersedes Transmittal # 21-52: Home Health Agency (HHA) Living Wage Rate Changes Effective January 1, 2021, issued on December 30, 2021.