Publications

12/30/2021 - 12:00pm

Transmittal 21-53 Temporary Enhanced Reimbursement Rates for Assisted Living Facilities Due to COVID-19

This transmittal is to notify Assisted Living Facility (ALF) providers in the District’s Medicaid program of changes to current enhanced reimbursement rates for ALF due to COVID-19 (Transmittal # 20-27), to reflect the increase in the Livin

Transmittal -21-53-Temporary-Enhanced-Reimbursement-Rates-for-Assisted-Living-Facilities-Due-to-COVID-19.pdf (85.44 KB)

12/30/2021 - 12:00pm

Transmittal 21-51 2022 HCPCS/CPT Annual Update

This transmittal provides notice the Department of Health Care Finance (DHCF) will adopt new CPT-HCPCS codes for dates of service beginning January 1, 2022. Discontinued codes will not be accepted after December 31, 2021.

Transmittal-21-51-2022-Annual-HCPCS_CPT-Code-Update.pdf (73.86 KB)
Attachment-to-Transmittal -21-51-2022-Annual-HCPCS_CPT-Code-Update Decisions_.pdf (174.52 KB)

12/30/2021 - 12:00pm

Transmittal 21-54 Reimbursement Rate Changes for Physical Therapy (PT), Occupational Therapy (OT), Speech and Language Therapy (ST) for Home Health Agency

This transmittal is to notify Home Health Agency (HHA) providers of changes to the reimbursement rates for PT, OT, and ST (Transmittal # 21-27(rev.)), to reflect the increase in the Living Wage.

Transmittal-21-54-Reimbursement-for-PT-OT-and-ST-Rates.pdf (103.22 KB)

12/30/2021 - 12:00pm

Transmittal 21-55 Updates to Adult Day Health Program (ADHP) rates and Temporary Enhanced Reimbursement Rates for ADHP Services

This transmittal provides updates on the State Plan and EPD Waiver Adult Day Health Program (ADHP) services per diem rates and modifiers and replaces earlier guidance on temporary reimbursement rates for ADHP services established during the COVID-19 public health emergency (PHE) as provided in…

Transmittal #21-55 - ADHP Rates Effective January 1st.pdf (108.91 KB)

12/21/2021 - 12:00pm

Transmittal 21-49 Orthodontic Treatment Authorization Forms

The purpose of this transmittal is to notify Medicaid fee-for-service (FFS) dental providers of the forms required for prior authorization (PA) for comprehensive orthodontic treatment for DC Medicaid beneficiaries effective January 3, 2022.