Publications
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.
Pursuant to the terms of the contract entered into by the Managed Care Organizations (MCOs) and the District of Columbia, each DC Medicaid MCO is required to comply with the terms of the Salazar Settlement Order, including any subsequent Orders entered by the Court in Salazar v.
Letter # 21-04 (rev.) - Implementation of an Integrated Medicare-Medicaid D-SNP Program Effective February 1, 2022
Purpose
This transmittal supersedes Transmittal # 21-55: Updates to ADHP rate and Temporary Enhanced Reimbursement Rates for ADHP Services Due to COVID-19, issued on December 30, 2021.
This transmittal supersedes Transmittal 21-48: Medicaid and Alliance MCO Emergency Medical Transportation. This transmittal corrects the prior issuance by removing reference to two procedure codes that were included in error: A0430 and A0999.
MCAC Report - December 2021 Enrollment Report – Data for November 2020-November 2021
This transmittal is to notify HHA providers of changes to the reimbursement rates for Personal Care Aide (PCA) services provided by the HHA and changes to the current enhanced reimbursement rates for HHA due to COVID-19 (Transmittal # 20-26), to reflect the increase in the Living Wage.
This transmittal is to inform operators of ICFs/IID of Medicaid reimbursement changes.