dc medicaid policy

coronavirus.dc.gov … Answers and More>> Latest News. Healthy Families Application Users and AR/AX Combined Application Users are written. DHCF is pleased to announce the opening of Program Year 2020 for the DC Medicaid PI Program on October 19, 2020. Medicaid is a program for DC residents who can't afford to pay for medical care. For those eligible for full Medicaid services, … Professional Services Billing Codes and Reimbursement Rates for Administration of COVID-19 Monoclonal Antibody Infusions; Chronic Hepatitis C Treatment Coverage Policy… Home Site Map. Learn about our services and how to schedule a ride. Program The purpose of the Care Management program is to ensure that appropriate medical services are provided in accordance with state and federal regulations, statutes and policies to recipients of the District of Columbia (DC) Department of Health Care Finance (DHCF) state Medicaid … The Medicaid Home and Community-Based Waiver program requires an application submission process. Fair Hearings: The Social Security Administration (SSA) holds fair hearings for Medicaid eligibility … DC Entered Phase Two of Reopening on June 22. NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2001 919-855-4800 Documents Needed For District of Columbia Medicaid … To be … The information regarding address and telephone for each provider is what … The federal government reimburses the District of Columbia 70 cents for every one dollar spent for qualifying services and supports for people enrolled in the HCBS waiver program… In general, children, pregnant women, parents, and other non-elderly adults enrolled in DC Medicaid are covered by managed care plans. Branded Prescription Drug Fee Program; Medicaid Drug Policy; Drug Utilization Review; Federal Upper Limit; Medicaid Drug Rebate Program; Pharmacy Pricing; Program Releases; ... District of Columbia Waiver Factsheet. Informational Bulletins for LTC Providers, Important Notice for Primary Care Providers, DC HIE Onboarding Requirements for the Behavioral Health Transformation Rule, Medicaid Electronic Health Record Incentive Program, Americans with Disabilities Act Information, DHCF Notice of Non-Discrimination and Accessibility Requirements Statement, Medicaid Reimbursement for Personal Care Aide Services Notice of Final Rulemaking, Home Community Based Service Waiver for Individual and Family Support Notice of Emergency and Proposed Rulemaking, Home and Community-Based Services Waiver for Individuals with Intellectual and Developmental Disabilities Notice of Emergency and Proposed Rulemaking, Durable Medical Equipment, Prosthetic, Orthotics and Supplies (DMEPOS) Notice of Third Emergency and Proposed Rulemaking, 1115 Behavioral Health Transformation Demonstration Program Notice of Second Emergency and Proposed Rulemaking, Home and Community-Based Services Waiver for Persons Who Are Elderly and Individuals With Physical Disabilities Notice of Emergency and Proposed Rulemaking, Free Standing Mental Health Clinics Notice of Final Rulemaking, Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities Notice of Final Rulemaking, Medicaid Provider and Supplier Screening, Enrollment and Termination Notice of Emergency and Proposed Rulemaking, Long Term Care Services and Supports Assessment Process Notice of Second Emergency and Proposed Rulemaking, Medicaid Managed Care Enrollment and Disenrollment Requirements and Procedures Notice of Emergency and Proposed Rulemaking, Medicaid Reimbursable Telemedicine Notice of Final Rulemaking, Cost-Based Medicaid Reimbursement to Eligible Providers of Emergency Medical Ground Transportation Services Notice of Final Rulemaking, Medicaid Adult Hospice Services Notice of Final Rulemaking, Adult Day Health Program Services Notice of Final Rulemaking, Medicaid Reimbursement for Fee for Service Pharmacy Services Notice of Final Rulemaking, Medicaid Non-MAGI Eligibility Group: Optional Aged Blind and Disable Notice of Final  Rulemaking, Medicaid Physician and Speciality Service Rate Methodology Notice of Final Rulemaking, Medicaid Recovery Audit Contractor Program Notice of Final Rulemaking, Medicaid Outpatient and Emergency Room Services Notice of Final Rulemaking, Adult Day Health Program Services Notice of Emergency and Proposed Rulemaking, Program of All-Inclusive for the Elderly Notice of Proposed Rulemaking, Medicaid Reimbursement Telemedicine Services Notice of Final Rulemaking, Spenddown for Medically Needy Coverage Notice of Proposed Rulemaking, Medicaid Non-MAGI Eligibility Group: TEFRA/Katie Beckett Notice of Final Rulemaking, Medicaid Reimbursement to Nursing Facilities Notice of Final Rulemaking, Medicaid Physician and Specialty Service Rate Methodology Notice of Final Rulemaking, Medicaid Reimbursement for Health Home Services Notice of Final Rulemaking, Health Care Benefit Grants Notice of Final Rulemaking, My Health GPS Program Notice of Final Rulemaking, Medicaid Reimbursement to Nursing Facilities Notice of Second Emergency and Proposed Rulemaking, Outpatient and Emergency Room Notice of Final Rulemaking, Health Information Exchange Notice of Proposed Rulemaking, Medicaid Reimbursement for Inpatient Hospital Services Notice of Final Rulemaking, Medicaid Reimbursement for Fee for Service Pharmacies Notice of Final Rulemaking, Medicaid Reimbursement for Mental Health Rehabilitative Services Notice of Final Rulemaking, Non-MAGI Supplemental Security Income and Optional State Supplemental Payment Notice of Final Rulemaking, Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disability Notice of Final Rulemaking, Medicaid Home and Community Based Services Waiver for Individual with Intellectual and Developmental Disabilities Notice of Final Rulemaking, Supplemental Security Income and Optional State Supplemental Payment Notice of Proposed Rulemaking, Medicaid Reimbursement for Early Intervention Services Notice of Final Rulemaking, Medicaid Reimbursement of Federally Qualified Health Centers (FQHC) Notice of Final Rulemaking, Medicaid Reimbursement for Outpatient and Emergency Room Services Notice of Final Rulemaking, Home Health Service Notice of Final Rulemaking, Medicaid Reimbursement for Specialty Hospital Inpatient Services Notice of Final Rulemaking, Service My Way Program Notice of Final Rulemaking, Medicaid for Private Duty Nursing Services Notice of Emergency and Proposed Rulemaking, Medicaid Eligibility for Title IV-E Foster Care Children Notice of Final Rulemaking, Elderly and Individuals with Physical Disabilities Waiver Notice of Final Rulemaking, Long Term Care Service and Support Assessment Notice of Final Rulemaking, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Notice of Proposed Rulemaking, Omnibus IDD Waiver Rate Change Notice of Emergency and Proposed Rulemaking, Services Waiver for Persons who are Elderly and Individuals with Physical Disabilities (EPD Waiver) Notice of Second Emergency and Proposed Rulemaking, Long Term Care Assessment Notice of  Third Emergency and Proposed Rulemaking, Medicaid Reimbursement for Home Health Aides Notice of Emergency and Proposed Rulemaking, Electronic Payments Initiative Notice of Final Rulemaking, Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities Notice of Emergency and Proposed Rulemaking, Lactation Services Notice of Final Rulemaking, Medicaid Reimbursement of Nursing Facilities Notice of Final Rulemaking, Outpatient and Emergency Room Services Notice of Final Rulemaking, Dental Services Notice of Final Rulemaking, Service My Way Program (PDS) Notice of Second Emergency and Proposed Rulemaking, Supplemental Security Income Based Methodology of Certain non-MAGI Eligibility Group Notice of Final Rulemaking, Conflict Free Case Management (EPD) Notice of Final Rulemaking, Day Habilitation Services Notice of Final Rulemaking, Nutrition Evaluation and Consultation Services Notice of Final Rulemaking, Non-MAGI Group: Optional Aged and Disable Notice of Proposed Rulemaking, Medicaid Reimbursement of Adult Substance Abuse Notice of Final Rulemaking, Employment Readiness Services Notice of Final Rulemaking, Medicaid Physician and Specialty Services Rate Methodology Notice of Final Rulemaking, General Provision Services Notice of Final Rulemaking, Behavioral Support Services Notice of Final Rulemaking, Physician Therapy Service Notice of Final Rulemaking, Skilled Nursing Services Notice of Final Rulemaking, Supported Employment Services Notice of Final Rulemaking, Private Duty Nursing Services Notice of Proposed Rulemaking, Wellness Service Notice of Final Rulemaking, Respite Services Notice of Final Rulemaking, Speech, Hearing and Language Services Notice of Final Rulemaking, Occupational Therapy Services Notice of Final Rulemaking, Individualized Day Supports Notice of Final Rulemaking, Personal Emergency Response System Services Notice of Final Rulemaking, Creative Arts Therapies Notice of Emergency and Proposed Rulemaking, In-Home Supports Services Notice of Final Rulemaking, Increase Reimbursement for Eligible Primary Care Services Notice of Final Rulemaking, Residential Habilitation Services Notice of Final Rulemaking, Health Home Services Notice of Second Emergency and Proposed Rulemaking, Supported Living Services Notice of Final Rulemaking, Medicaid Reimbursement for Personal Care Services Notice of Second Emergency and Proposed Rulemaking, Medicaid Reimbursement Rates Personal Care Aide Services Notice of Final Rulemaking, Medicaid Reimbursement for Mental Health Rehabilitative Services (MHRS) Notice of Final Rulemaking, Family Training Services Notice of Final Rulemaking, Inpatient Services Notice of Final Rulemaking, Conflict Free Case Management Notice of Final Rulemaking, Medicaid Reimbursement for Personal Care Services Notice of Final Rulemaking, Long Term Care Services and Supports Assessment Process Notice of Second Proposed Rulemaking, Medicaid Recovery Audit Contract Program Notice of Final Rulemaking, Outpatient and Emergency Room Services Notice of Second Emergency and Proposed Rulemaking, Financial Eligibility for Long Term Care Services and Supports Notice of Final Rulemaking, Katie Beckett Pathway Notice of Emergency and Proposed Rulemaking, Adult Day Health Program Notice of Final Rulemaking, Optometry Services Notice of Final Rulemaking, Medicaid Repeal Day Treatment Programs Notice of Final Rulemaking, Companion Services Notice of Final Rulemaking, Medicaid Reimbursement of Health Home Services Notice of Emergency and Proposed Rulemaking, In-Home Support Services Notice of Final Rulemaking, Medicaid Fee Schedule Notice of Final Rulemaking, Inpatient Services Notice of Emergency Rulemaking, One-Time Transitional Services Notice of Final Rulemaking, Vehicle Modification Services Notice of Final Rulemaking, Other Laboratory and X-Ray Services Notice of Final Rulemaking, Shared Living Services Notice of Final Rulemaking, Personal Care Aide Services Reimbursement Rates Notice of Emergency and Proposed Rulemaking, Medicaid Fee Schedule Notice of Second Emergency and Proposed Rulemaking, In-Home Support Services Notice of Fourth Emergency and Proposed Rulemaking, Behavioral Support Services Final Rulemaking for Participant in the Home and Community Based Services Waiver for Individual with Intellectual and Development Disabilities, Physical Therapy Services for Participants in the Home and Community Based Services Waiver for Individual with Intellectual and Development Disabilities Notice of Emergency and Proposed Rulemaking, Medicaid Eligibility Chapter 95 Notice of Final Rulemaking, Personal Care Services Notice of Final Rulemaking, Public Notice Medicaid Fee Schedule Updates for Laboratory Services, Public Notice Medicaid Fee Schedule Updates for Physician Administered Drug, Medicaid Eligibility of Individuals above 133% FPL Notice of Proposed Rulemaking, Public Notice Medicaid Fee Schedule Updates for Anesthesia Services, Transitional Medical Services Notice of Final Rulemaking, Personal Care Services Notice of Emergency and Proposed Rulemaking, Medicaid Reimbursement for PCA Services (EPD) Notice of Final Rulemaking, Medicaid Reimbursement for Personal Care Aide Services Final Rulemaking, Medicaid Reimbursement of Transplantation Services Final Rulemaking, Medicaid Reimbursement for Mental Health Rehabilitative Services Emergency and Proposed Rulemaking, Medicaid Reimbursement for Intermediate Care Facilities for Individual with Intellectual Disabilities Final Rulemaking, Medicaid Durable Medical Equipment, Prosthetics, Orthotics and Supplies Final Rulemaking, Medicaid Reimbursement for Early Intervention Services Final Rulemaking, Lead Investigation for Medicaid Eligible Children Under the Age of Twenty One Final Rulemaking, Money Follows the Person Rebalancing Demonstration Project Proposed Rulemaking, Long Term Care Services and Supports Assessment Process Notice of Proposed Rulemaking, Medicaid Clinic Services and Reimbursement, Screening, Diagnostic and Preventive Services Final Rulemaking, Medicaid Reimbursement to Nursing Facilities Final Rulemaking, Supported Employment Services Final Rulemaking, Skilled Nursing Services Final Rulemaking, Outpatient and Emergency Room Services Final Rulemaking, Notice of Final Rulemaking Shared Living Services, Notice of Final Rulemaking One-Time Transitional Services, Final Rulemaking Medicaid Electronic Health Record, Art Therapies for Persons Enrolled in the Home and Community Based Waiver for Persons with Intellectual and Developmental Disabilities Notice of Final Rulemaking, Day Habilitation Services for the ID/DD Waiver Final Rulemaking, Medicaid Reimbursement for Birth Center Services Final Rulemaking, Health Care Benefit Grants Final Rulemaking, Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities Final Rulemaking, Medicaid Electronic Health Record Incentive Payment Program Emergency Proposed Rulemaking, Pediatric Palliative and Hospice Care Final Rulemaking, Provider Screening and Enrollment Notice of Final Rulemaking, Reimbursement of Nursing Facilities Final Rulemaking, Medicaid Reimbursement for Pharmacy Services Final Rulemaking, Change of Base Year for Hospital for Sick Children Final Rulemaking, Medicaid Payment Adjustment for Provider Preventable Conditions Final Rulemaking, Time Limitation on Payment of Medicaid Provider Claims Final Rulemaking, Medicaid Reimbursement for Adult Substance Abuse Rehabilitative Services Final Rulemaking, Mental Health Rehabilitation Services Final Rulemaking, Medicaid Reimbursement for Inpatient Hospital Services Final Rulemaking, Medicaid Reimbursement Governing Disproportionate Share Hospitals (DSH) Qualifications for a Disproportionate Share Hospital (DSH) Final Rulemaking, Standards for Participation of Residential Treatment Centers for Children and Youth (PRTF) Final Rulemaking, Methods for Determining Costs of Prescribed Multiple Source Drugs Final Rulemaking, Final Rulemaking: Provider of Durable Medical Equipment, Prosthetics, and Orthotics Supplies Final Rulemaking, Mobile Community Outreach Treatment Team Services Final Rulemaking, Prescriptions and Distribution Final Rulemaking, Nutrition Evaluation and Consultation Services Final Rulemaking, Community Support Services Final Rulemaking, Environmental Accessibility Adaptation Services Final Rulemaking. A Program Year is a full calendar year during which a provider can meet the Program Requirements. If your child is in the DC Healthy Families (Medicaid) program, your child will be in the HealthCheck Program, also called Early and Periodic Screening, Diagnosis, and Treatment (EPSDT). Fair Hearings: The Social Security Administration (SSA) holds fair hearings for Medicaid eligibility … Arts and Culture; Media and Communications; Getting Around the District; Sports, … Welcome to the District of Columbia Medicaid Pharmacy Program website. Healthy Families Application Users and AR/AX Combined Application Users are written. A missed appointment is not a distinct … … Attestation for Program … District of Columbia Medicaid is a joint federal-state health insurance program that provides health care coverage to low-income and disabled adults, children and families. The Home and Community Based (HCBS) Services waiver program is jointly funded with federal and local dollars. View the Guidance. DC Medicaid is a healthcare program that pays for medical services for qualified low-income and disabled people. 1-08-2021 Home Community Based Service Waiver for Individual and Family Support … Medicaid Waiver Information. 1-29-2021 Medicaid Reimbursement for Personal Care Aide Services Notice of Final Rulemaking, 1-08-2021 Home Community Based Service Waiver for Individual and Family Support Notice of Emergency and Proposed Rulemaking, 12-04-2020 Home and Community-Based Services Waiver for Individuals with Intellectual and Developmental Disabilities Notice of Emergency and Proposed Rulemaking, 10-23-2020 Durable Medical Equipment, Prosthetic, Orthotics and Supplies (DMEPOS) Notice of Third Emergency and Proposed Rulemaking, 10-23-2020 1115 Behavioral Health Transformation Demonstration Program Notice of Second Emergency and Proposed Rulemaking, 10-09-20 Home and Community-Based Services Waiver for Persons Who Are Elderly and Individuals With Physical Disabilities Notice of Emergency and Proposed Rulemaking, 10-02-2020 Free Standing Mental Health Clinics Notice of Final Rulemaking, 10-02-2020 Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities Notice of Final Rulemaking, 9-25-2020 Medicaid Provider and Supplier Screening, Enrollment and Termination Notice of Emergency and Proposed Rulemaking, 9-04-2020 Long Term Care Services and Supports Assessment Process Notice of Second Emergency and Proposed Rulemaking, 8-14-2020  Medicaid Managed Care Enrollment and Disenrollment Requirements and Procedures Notice of Emergency and Proposed Rulemaking, 8-14-2020  Medicaid Reimbursable Telemedicine Notice of Final Rulemaking, 7-31-2020 Cost-Based Medicaid Reimbursement to Eligible Providers of Emergency Medical Ground Transportation Services Notice of Final Rulemaking, 6-19-2020 Medicaid Adult Hospice Services Notice of Final Rulemaking, 6-12-2020 Adult Day Health Program Services Notice of Final Rulemaking, 6-05-2020 Medicaid Reimbursement for Fee for Service Pharmacy Services Notice of Final Rulemaking, 5-08-2020 1115 Behavioral Health Transformation Demonstration Program Notice of Second Emergency and Proposed Rulemaking, 4-10-2020 Medicaid Non-MAGI Eligibility Group: Optional Aged Blind and Disable Notice of Final  Rulemaking, 4-03-2020 Medicaid Physician and Speciality Service Rate Methodology Notice of Final Rulemaking, 4-03-2020 Medicaid Recovery Audit Contractor Program Notice of Final Rulemaking, 4-03-2020 Medicaid Outpatient and Emergency Room Services Notice of Final Rulemaking, 3-13-2020 Adult Day Health Program Services Notice of Emergency and Proposed Rulemaking, 1-31-2020 Program of All-Inclusive for the Elderly Notice of Proposed Rulemaking, 12-13-2019 Medicaid Reimbursement Telemedicine Services Notice of Final Rulemaking, 11-15-2019 Spenddown for Medically Needy Coverage Notice of Proposed Rulemaking, 11-15-2019 Medicaid Non-MAGI Eligibility Group: TEFRA/Katie Beckett Notice of Final Rulemaking, 10-18-2019 Medicaid Reimbursement to Nursing Facilities Notice of Final Rulemaking, 10-04-2019 Medicaid Physician and Specialty Service Rate Methodology Notice of Final Rulemaking, 7-05-2019 Medicaid Reimbursement for Health Home Services Notice of Final Rulemaking, 5-31-2019 Health Care Benefit Grants Notice of Final Rulemaking, 4-26-2019 My Health GPS Program Notice of Final Rulemaking, 3-22-2019 Medicaid Reimbursement to Nursing Facilities Notice of Second Emergency and Proposed Rulemaking, 1-04-2019  Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities Notice of Final Rulemaking, 12-28-2018 Outpatient and Emergency Room Notice of Final Rulemaking, 12-14-2018 Health Information Exchange Notice of Proposed Rulemaking, 9-14-2018 Medicaid Reimbursement for Inpatient Hospital Services Notice of Final Rulemaking, 7-27-2018 Medicaid Reimbursement for Fee for Service Pharmacies Notice of Final Rulemaking, 7-27-2018 Medicaid Reimbursement for Mental Health Rehabilitative Services Notice of Final Rulemaking, 6-26-2018 Non-MAGI Supplemental Security Income and Optional State Supplemental Payment Notice of Final Rulemaking, 3-09-2018 Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disability Notice of Final Rulemaking, 3-02-2018 Medicaid Home and Community Based Services Waiver for Individual with Intellectual and Developmental Disabilities Notice of Final Rulemaking, 2-23-2018 Supplemental Security Income and Optional State Supplemental Payment Notice of Proposed Rulemaking, 2-09-2018 Medicaid Reimbursement for Early Intervention Services Notice of Final Rulemaking, 2-02-2018 Medicaid Reimbursement of Federally Qualified Health Centers (FQHC) Notice of Final Rulemaking, 1-26-2018  My Health GPS Program Notice of Final Rulemaking, 1-19-2018  Medicaid Reimbursement for Outpatient and Emergency Room Services Notice of Final Rulemaking, 1-19-2018  Home Health Service Notice of Final Rulemaking, 10-27-2017 Medicaid Reimbursement for Specialty Hospital Inpatient Services Notice of Final Rulemaking, 10-20-2017 Medicaid Reimbursement for Personal Care Aide Services Notice of Final Rulemaking, 9-29-2017 Service My Way Program Notice of Final Rulemaking, 9-29-2017 Medicaid for Private Duty Nursing Services Notice of Emergency and Proposed Rulemaking, 8-11-2017 Medicaid Eligibility for Title IV-E Foster Care Children Notice of Final Rulemaking, 7-21-2017 Elderly and Individuals with Physical Disabilities Waiver Notice of Final Rulemaking, 7-21-2017 Long Term Care Service and Support Assessment Notice of Final Rulemaking, 5-5-2017   Durable Medical Equipment, Prosthetics, Orthotics and Supplies Notice of Proposed Rulemaking, 4-14-2017 Omnibus IDD Waiver Rate Change Notice of Emergency and Proposed Rulemaking, 4-14-2017 Home and Community Based Services Waiver for Persons who are Elderly and Individuals with Physical Disabilities (EPD Waiver) Notice of Second Emergency and Proposed Rulemaking, 2-24-2017 Long Term Care Assessment Notice of  Third Emergency and Proposed Rulemaking, 2-17-2017 Medicaid Reimbursement for Home Health Aides Notice of Emergency and Proposed Rulemaking, 2-17-2017 Electronic Payments Initiative Notice of Final Rulemaking, 2-03-2017 Medicaid Reimbursement for Intermediate Care Facilities for Individuals with Intellectual Disabilities Notice of Emergency and Proposed Rulemaking, 1-27-2017 Lactation Services Notice of Final Rulemaking, 1-27-2017 Medicaid Reimbursement of Nursing Facilities Notice of Final Rulemaking, 9-23-2016 Employment Readiness Services Notice of Final Rulemaking, 8-12-2016 Medicaid Physician and Specialty Services Rate Methodology Notice of Final Rulemaking, 8-12-2016 General Provision Services Notice of Final Rulemaking, 7-29-2016 Behavioral Support Services Notice of Final Rulemaking, 7-22-2016 Physician Therapy Service Notice of Final Rulemaking, 7-22-2016  Skilled Nursing Services Notice of Final Rulemaking

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