Publications
The purpose of this transmittal is to inform facilities and providers about a change in the District of Columbia’s (the District’s) Personal Needs Allowance (PNA) amount. Effective January 1, 2026, the monthly PNA for institutionalized long-term care residents will increase to $109.
This transmittal notifies all D.C. Medicaid-enrolled providers that they must, at all times, comply with language access compliance responsibilities for beneficiaries enrolled in either the D.C. Medicaid or the Health Care Alliance programs.
The Centers for Medicare and Medicaid Services (CMS) releases modifications of the Healthcare Common Procedure Coding System (HCPCS) code set annually.
The Centers for Medicare and Medicaid Services (CMS) releases modifications of the Healthcare Common Procedure Coding System (HCPCS) code set annually.
This transmittal updates Transmittal 25-03 (February 3, 2025) and Transmittal 25-23 (September 15, 2025) regarding the Calendar Year (CY) 2025 Distribution of Direct Care Service Provider Supplemental Payment (DCSP) for enhanced wages to Direct Care Professionals (DCP).
The purpose of this transmittal is to inform all DC Medicaid-enrolled Doula Service Providers that the rates for Medicaid Doula Services will be updated, effective January 1, 2026.
The purpose of this transmittal is to inform you of an important reminder that will take place on January 1, 2026, for all Health Care Alliance patients.
The purpose of this transmittal is to notify providers of changes to the fee for service reimbursement rates for PCA services, effective January 1, 2026.
This transmittal provides updates to the per diem rates and billing modifiers for Adult Day Health Program (ADHP) services under the DC Medicaid State Plan and the EPD Waiver.
The purpose of this transmittal is to inform operators of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID) that the reimbursement rates for ICF/IID services will be updated effective January 1, 2026.