Publications
This transmittal amends guidance provided in …
Organ Transplant Services Notice of Emergency and Proposed Rulemaking
The purpose of this Transmittal is to notify all Medicaid providers billing Medicaid fee-for-services (FFS) for professional items and services of updates to the District’s professional fee schedule as required under 29 DCMR 998 for physician services, physician-administered drugs, durable…
This is to inform you that the DC Department of Health Care Finance (DHCF) is implementing a policy change that will carve-out coverage and reimbursement for medications approved for HIV pre-exposure prophylaxis (PrEP) and for HIV post-exposure prophylaxis (PEP) from the Medicaid managed…
This transmittal is to inform DC Medicaid Pharmacy Providers that the Department of Health Care Finance (DHCF) is issuing a new policy to update existing acceptable Dispense As Written (DAW) Codes for pharmacy claims submitted at the pharmacy point of sale (POS) system to standardize acceptable…
This transmittal supersedes Transmittal # 21-10: Chronic Hepatitis C Treatment Coverage Policy: Removal of Minimum Fibrosis Score Requirement, issued on March 1, 2021. This revision modifies the effective date of the new policy to April 1, 2021.
MCAC Report - February 2022 Enrollment Report – Data for January 2021-January 2022
MCAC Report - January 2022 Enrollment Report – Data for December 2020-December 2021
MDL 21-01 - CASSIP Enrollment Eligibility for Individuals Aged 21-26
This transmittal supersedes Transmittal # 21-05: Hospital Services Billing Codes and Reimbursement Rates for COVID-19 Vaccine Administration, issued on February 8, 2021.