Publications
The purpose of this transmittal is to inform the Medicaid Nursing Facility providers that the Department of Health Care Finance (DHCF) is issuing an update to the Medicaid Managed Care Program’s nursing facility services coverage and outlines the roles and responsibilities of Medicaid nursing…
MCAC Report - April 2021 Enrollment Report – Data for March 2020-March 2021
MCAC Report - May 2021 Enrollment Report – Data for April 2020-April 2021
This guidance provides direction to SUD residential treatment providers to assess beneficiaries (aged 21-64) for IMD stays, obtain an authorization from the appropriate payer, and bill the
This guidance provides direction to SUD residential treatment providers to assess Medicaid Fee for Service (FFS) beneficiaries (aged 21-64) for IMD stays and obtain an authorization from DHCF’s contracted Quality Improvement Organization (QIO), which is currently Comagine Health, for an SUD…
The purpose of this transmittal is to notify Medicaid fee-for-service (FFS) dental providers of an update to the DC Medicaid fee schedule for Current Dental Terminology (CDT) codes.
Amount, Duration and Scope of Services Attachment 3.1E
This transmittal provides notice and payment guidance to Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFIIDs) on the implementation of the Direct Support Professionals (DSP) Supplemental Payment program.
MDL 21-02 - CASSIP: Interim Procedure to Request Disability Determination for Non-SSI Recipients of D.C. Medicaid
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.