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.
MCAC Report - December 2020 Enrollment Report – Data for November 2019-November 2020
Home Community Based Service Waiver for Individual and Family Support Notice of Emergency and Proposed Rulemaking
This transmittal revises transmittal # 20-36 published on October 13, 2020. The billing instructions and the billing code tables have been revised.
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 and modifiers for ADHP services established during the COVID-19 public health emergency (PHE)…
The purpose of this transmittal is to inform DC Medicaid providers that each year the Centers for Medicare and Medicaid Services (CMS) releases modifications of the Healthcare Common Procedure Coding System (HCPCS) code set.
This transmittal provides notice of coverage and reimbursement for COVID-19 vaccine administration in the professional fee schedule for fee-for-service providers who bill HCPCS and CPT codes on CMS-1500 claim forms.
The purpose of this transmittal is to inform operators of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) of Medicaid reimbursement changes.
MCAC Report - November 2020 Enrollment Report – Data for October 2019-October 2020
Part I - Payment to General Hospitals for Inpatient Medical Services