The Director of the Department of Health Care Finance (DHCF), pursuant to the authority set forth in an Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02)(2012 Repl. & 2013 Supp.)), and the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.01 et seq. (2012 Repl.)), hereby gives notice that DHCF has reached capacity for EPD Waiver conflict-free case management provider agencies.  Therefore, effective June 1, 2017, DHCF will deny all new applications for enrollment as an EPD Waiver case management agency.  

Section 9401.6 of Title 29 of the District of Columbia Municipal Regulations (DCMR) allows DHCF to deny an application based on the current availability of services or supplies for beneficiaries taking into account geographic location and reasonable travel time and the number of providers of the same type of service or supplies enrolled in the same geographic area.  Effective June 1, 2017, if an application is submitted by a new case management agency to enroll as an EPD Waiver Medicaid provider, DHCF will deny the application pursuant to Section 9401.6 of Title 29 of the DCMR.

DHCF Long Term Care Administration (LTCA) will re-evaluate the need for EPD Waiver case management agencies every 180 days and will notify the public via public notice in the D.C. Register when the LTCA is no longer denying EPD Waiver case management agency applications pursuant to Section 9401.6 of Title 29 of the DCMR.  

If you have any questions about this public notice, please contact the DHCF LTCA Provider Enrollment at (202) 442-9533, or via email at [email protected].