Publications

04/01/2017 - 12:00pm

Medicaid Update: Transmittal 17-13 - Request for Administrative Reconsideration of MCO Decisions on Claims for Reimbursement

The purpose of this Transmittal is to inform FQHCs of the administrative reconsideration of MCO decisions on claims reimbursement.

Transmittal 17-13 (242.47 KB)

03/31/2017 - 12:00pm

MCAC Report - March 2017

Enrollment Report_Mar2017.pdf (224.78 KB)

03/24/2017 - 12:00pm

Long Term Care Assessment Notice of Third Emergency and Proposed Rulemaking

Long Term Care Assessment Notice of Third Emergency and Proposed Rulemaking (1.08 MB)

03/17/2017 - 12:00pm

Transmittal 17-01-Revised Prescription Order Form (POF) for Long Term Care Services and Supports (LTCSS)

The Department of Health Care Finance (DHCF) is revising its process and format for the Prescription Order Form (POF) to establish standards governing the assessment process for the level of need for beneficiaries who receive Long Term Care Services and Supports (LTCSS).

Revised POF signed 3 17 2017 (5).pdf (108.88 KB)

03/01/2017 - 12:00pm

Medicaid Update: Transmittal 17-08 - My Health GPS Provider Application Transmittal

The purpose of this transmittal is to provide the application to be used by primary care providers currently enrolled in DC Medicaid and interested in delivering services under the My Health GPS program.

Transmittal 17-08-My Health GPS Provider Application Transmittal (374.65 KB)

02/28/2017 - 12:00pm

MCAC Report - February 2017

Enrollment Report_Feb2017.pdf (223.89 KB)

02/28/2017 - 12:00pm

Medicaid Update: Transmittal 17-07 - Notice of Pricing Updates to the Medicaid Physician Fee Schedule - Revised

The purpose of this Transmittal is to notify all Medicaid providers billing for professional services of updates to the District's professional fee schedule for physician services, physician-administered drugs, durable medical equipment (DME) and laboratory services.

Revised- Medicaid Update: Transmittal 17-07 - Notice of Pricing Updates to the Medicaid Physician Fee Schedule (6.04 MB)

02/27/2017 - 12:00pm

Medicaid Update: Transmittal 17-05: Medicaid Primary Care Provider Rate Permanent Extension for Qualified Physicians and Advanced Practice Registered Nurses

This transmittal is an update to Transmittal 16-11 published on May 24, 2016. This is an updated list of HCPCS procedure codes eligible for the primary care enhanced rate.

Transmittal 17-05 (112.15 KB)

02/24/2017 - 12:00pm

Medicaid Update: Transmittal 17-06 - Revised 719A Form

The Department of Health Care Finance (DHCF's) 719A form is used to request an authorization for medical/surgical service(s), for the Fee-for-Service (FFS) Medicaid beneficiaries. The 719A has been revised, and will be in effect starting March 1, 2017.