Publications
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…
Medicaid Director Letter 21-04 - Implementation of an Integrated Medicare-Medicaid D-SNP Program Effective January 1, 2022
Purpose
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 2019 retroactive payments of State Supplement, and the change to the Optional State Supplement Payment (OSSP) for…
Medicaid Director Letter - Implementation of an Integrated Medicare-Medicaid D-SNP Program Effective January 1, 2022
8-17-21 Medicaid Director Letter - Frequently Asked Questions Related to DHCF Operations After the Conclusion of the COVID-19 Public Health Emergency
The purpose of this Transmittal is to provide an update to the DC Medicaid coverage policies for organ transplantation for Medicaid FFS and Managed Care Enrollees.
This transmittal provides notice of coverage and reimbursement for Monoclonal Antibody infusions 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) networks…
This transmittal supersedes Transmittal # 20-10: Temporary Eligibility Policy Changes for Medicaid, Children’s Health Insurance Program (CHIP), Alliance, and Immigrant Children’s Program (ICP) in Response to Public Health Emergency COVID-19.
This transmittal supersedes Transmittal # 21-27: Reimbursement rate changes for Physical Therapy (PT), Occupational Therapy (OT), Speech and Language Therapy (ST) issued on June 30, 2021. This revision adds a modifier to the OT procedure code, which was omitted from the previous transmittal.
This transmittal provides notice of a targeted coverage and reimbursement effort for fee-for-service pharmacy providers that administer required pediatric immunizations to children.