Publications
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.
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.
Electronic Payments Initiative Notice of Final Rulemaking
Medicaid Reimbursement for Home Health Aides Notice of Emergency and Proposed Rulemaking
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.
Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities Notice of Emergency and Proposed Rulemaking
Pursuant to the terms of the contract entered into by the Managed Care Organizations (MCOs) and the District of Columbia, each DC Medicaid MCO is required to comply with the terms of the Salazar Settlement Order, including any subsequent Orders entered by the Court in Salazar v.
In keeping with requirements of the Salazar Settlement Order (Salazar v. District of Columbia, Civil Action No. 93-451 (GK) (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.