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MCAC Report - April 2019

The purpose of this transmittal is to inform institutional fee-for-service providers of the requirement that an Attending provider NPI is required on all institutional fee-for-service provider claims (UB04/837I). 

The purpose of this transmittal is to introduce Policy Number: HCDMA-19-001 which removes the Prior Authorization requirements for Buprenorphine containing drug products and Vivitrol.

The purpose of this transmittal is to update the process and procedure to obtain a prior authorization (PA) for a therapeutic abortion, as outlined in Transmittal 18-20.

Telehealth at Faith-Based Organizations Pilot Program

The purpose of this transmittal is to inform dental and EPSDT providers of the state of children’s oral health in the District of Columbia, and of Medicaid-covered dental procedures administered in primary care and dental settings.

The purpose of this transmittal is to inform the District of Columbia’s Medicaid providers that reimbursement rates for ground mileage and several emergency medical transportation services provided to DC’s Medicaid recipients have been updated effective October 1, 2018.

The purpose of this Transmittal is to notify all Medicaid providers billing for professional items and services of updates to the District’s Professional fee schedule for physician services, physician-administered drugs, durable medical equipment (DME), parenteral/enteral nutrition items and labo

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