- Temporary Enhanced Reimbursement Rates for HHA and ADHP Services Due to COVID-19, 04-22-20 Medicaid Update: CMS Approves 1915 (c ) HCBS Waiver Appendix K Emergency Preparedness Response Plan, 04-22-20 Medicaid Update: Transmittal 20-18 Temporary Enhanced Reimbursement Rates for District ICFIID Due to COVID-19, 04-22-20 Medicaid Update: Transmittal 20-17 Temporary Enhanced Reimbursement Rates for District Nursing Homes Due to COVID-19, 04-21-20 Section 1135 Waiver Requests to Assist Healthcare Providers in Responding to COVID-19, 04-21-20 Medicaid Update: Transmittal 20-16 Temporary Pharmacy Program Changes Due to COVID-19, 04-21-20 Medicaid Update: Transmittal 20-15 Fee-For-Service Prior Authorization and Programmatic changes due to COVID-19, 04-21-20 Medicaid Update: Transmittal 20-14 Temporary Provider Screening and Enrollment Flexibilities in Response to the COVID-19 Public Health Emergency, 04-08-20 Medicaid Update: Transmittal 20-13 (rev) - Updates to the Laboratory Billing Codes and Reimbursement Rates for COVID-19 Testing, 04-01-20 Medicaid Update: Transmittal 20-02 (rev) - Program Year 2019 of the DC Medicaid EHR Incentive Program will Close April 30, 2020, 04-01-20 Medicaid Update: Transmittal 20-12 Behavioral Health Transformation Demonstration Program: HIE Participation Requirements for IMDs, 03-27-20 Medicaid Update: Transmittal 20-10 Temporary Eligibility Policy Changes for Medicaid, Children’s Health Insurance Program (CHIP), Alliance, and Immigrant Children’s Programs in Response to Public Health Emergency COVID-19, 03-20-20 Medicaid Update: Transmittal 20-11 COVID-19 Emergency Authorization Pharmacy Dispensing, 03-20-20 Medicaid Update: Transmittal 20-09 (rev) Laboratory Billing Codes & Reimbursement Rates for COVID-19 Testing, 03-19-20 Medicaid Update: Transmittal 20-08- Public Health Emergency Guidance on Medicaid-Reimbursable Telemedicine Services Allowance for Audio-Only Visits and HIPAA, 03-13-20 Transmittal 20-07-Medicaid-Reimbursable Telemedicine Services: Reimbursement for Healthcare Services Delivered to a Beneficiary in their Home via Telemedicine Documents, 03-01-20 Medicaid Update: Transmittal #20-06- Notice of Pricing Updates to the Medicaid Fee Schedule, 02-28-20 Medicaid Update: Transmittal 20-05-National Children's Dental Health Month, Dental Procedures and Billing Requirements, 01-28-20 Medicaid Update: Transmittal #20-04 - Reimbursement of Out-of-Pocket Expenditures for Non-Managed Care Medicaid Beneficiaries, 01-28-20 Medicaid Update: Transmittal #20-03 - Reimbursement of Out-of-Pocket Expenditures for Managed Care Medicaid Beneficiaries, 01-09-20 Medicaid Update: Transmittal #19-25 (Rev.) Proposals are due January 31, 2020. USA (Washington, DC.) COVID 19 LTC Application Telephonic Signature Process, Medical Update: Transmittal 20-31 - COVID-19 ICD-10 Updates for Hospitals, Medicaid Update: Transmittal 20-30 Behavioral Health Transformation Request for Information, Medicaid Update: Transmittal 20-29 PT, OT, & ST Rates Changes, Medicaid Update: Transmittal 20-28 Billing for Telemedicine Encounters, Medicaid Update: Transmittal 20-27 Temporary Enhanced Reimbursement Rates for Assisted Living Facilities Due to COVID-19, Medicaid Update: Transmittal 20-26 Home Health Agency Living Wage Rate Changes Effective July 1, 2020, Medicaid Update: Transmittal 20-25 FQHC Performance Payment Program – Performance Bonus Funding Pool and Updates due to the COVID-19 PHE, Medicaid Update: Transmittal 20-24 Reimbursement for Pharmacist Administered Vaccines, Immunizations, and Related Emergency Anaphylactic Agents, Medicaid Update: Transmittal 20-23 Billing for Teledentistry Encounters, Medicaid Update: Transmittal 20-22 Updates to the Laboratory Billing Codes and Reimbursement Rates for COVID-19 Testing, Medicaid Update: Transmittal 20-21 Hospital Billing Codes and Reimbursement Rates for COVID-19 Services, Medicaid Update: Transmittal 20-20 COVID-19 LTC Application Telephonic Signature Process, Medicaid Update: Transmittal 20-19 (rev. Current incumbents are AmeriHealth Caritas, Anthem, and Trusted Health Plan, serving 196,000 individuals as of May 2019. Budget 2016; District Agencies; Grants and Funding; DC Council; Laws, Regulations and Courts; Open Government; Official Documents and Records; Tickets and Fines; Visitors . They primarily reside in long term care facilities or are served by a home and community-based waiver program. The price evaluation is objective, with the lowest price receiving the maximum score. At the start of 2020, 37 states had adopted the ACA Medicaid expansion. Proposals will be scored out of a total of 112 points, consisting of technical criteria, price, and preference points. (WASHINGTON, D.C.) – Today the Department of Health Care Finance (DHCF) released the Request for Proposal (RFP) that will be used to solicit bids from managed care companies that are interested in coordinating the delivery of health care services provided to District residents through the Medicaid and Alliance programs. Home / Proposals are due Feb. 14, 2020, by 2 p.m. DC Entered Phase Two of Reopening on June 22. DC and Kentucky Medicaid Managed Care RFPs. COVID 19 LTC Application Telephonic Signature Process, 08-28-20 Medical Update: Transmittal 20-31 - COVID-19 ICD-10 Updates for Hospitals, 08-25-20 Medicaid Update: Transmittal 20-30 Behavioral Health Transformation Request for Information, 08-10-20 Medicaid Update: Transmittal 20-29 PT, OT, & ST Rates Changes, 07-09-20 Medicaid Update: Transmittal 20-28 Billing for Telemedicine Encounters, 07-09-20 Medicaid Update: Transmittal 20-27 Temporary Enhanced Reimbursement Rates for Assisted Living Facilities Due to COVID-19, 06-30-20 Medicaid Update: Transmittal 20-26 Home Health Agency Living Wage Rate Changes Effective July 1, 2020, 06-30-20 Medicaid Update: Transmittal 20-25 FQHC Performance Payment Program – Performance Bonus Funding Pool and Updates due to the COVID-19 PHE, 06-11-20 Medicaid Update: Transmittal 20-24 Reimbursement for Pharmacist Administered Vaccines, Immunizations, and Related Emergency Anaphylactic Agents, 05-14-20 Medicaid Update: Transmittal 20-23 Billing for Teledentistry Encounters, 05-14-20 Medicaid Update: Transmittal 20-22 Updates to the Laboratory Billing Codes and Reimbursement Rates for COVID-19 Testing, 05-14-20 Medicaid Update: Transmittal 20-21 Hospital Billing Codes and Reimbursement Rates for COVID-19 Services, 05-11-20 Medicaid Update: Transmittal 20-20 COVID-19 LTC Application Telephonic Signature Process, 05-11-20 Medicaid Update: Transmittal 20-19 (rev. The Department of Health Care Finance (DHCF) intends to award three new contracts to the following health plans: AmeriHealth Caritas District of Columbia, … This site helps the District government work better for its citizens as part of our electronic government (e-government) initiative. We share states’ commitment to full and open competition to realize high-performance, best of breed technology solutions. The experts at Health Management Associates (HMA) have released Medicare Advantage Supplemental Benefit Flexibilities: An Early Assessment… Read More, 120 North Washington SquareSuite 705Lansing, MI 48933, This blog was written by Laura Zaremba, Principal, HMA, and Robert Chouinard, VP Public Sector, HealthEC What…. Behavioral Health & Substance Use Providers, Federal & State Policy Related to Delivery of Care, IT Innovations to Support Delivery System Reform, Texas STAR Kids – Dallas Service Area RFP, New NCQA Scoring- What Health Plans Should Know, Report Examines Medicare Advantage Supplemental Benefits, CMS Interoperability and Patient Access Final Rule – Part 1, Dual Eligibles (Medicaid and Medicare eligible). Please click “Electronic Opportunities” and select “Managed Care Organization (MCO).”, In November 2019, Kentucky awarded Medicaid managed care contracts to Aetna, Humana, Molina, UnitedHealthcare, and WellCare. Meanwhile, the Kentucky Cabinet for Health and Family Services (CHFS), Department for Medicaid Services (DMS) released a statewide Medicaid managed care RFP to serve approximately 1.2 million lives. Coverage of the Administration of COVID-19 Vaccines -- December 17, 2020. WellCare has the largest market share, with 35.6 percent of enrollment. Link to DC Medicaid Managed Care RFP. ... Of the seven companies that bid on the Medicaid … Maryland State Plan for Emergency Service Transporter Supplemental Payment Program -- September 30, 2020 This week, our In Focus section reviews two Medicaid managed care requests for proposals (RFPs) released on January 10, 2020. From Monday, March 16, through the end of the public health emergency, the Office of Contracting and Procurement (OCP) will be physically closed to prevent the potential spread of coronavirus (COVID-19) in the District of Columbia. The Centers for Medicare & Medicaid Services (CMS) funds most state Medicaid information technology (IT) development at a ninety percent federal match, to the tune of over $4 billion per year. The steady increase year-to-year of the managed care penetration in the Medicaid program serves to highlight the importance of the OMC. 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 Update: Transmittal 20-45 - COVID19 Vaccine Administration Rate and Billing Codes Purpose, Medicaid Update: Transmittal 20-44 Medicaid Fee Schedule Updates to the Temporary Enhanced Reimbursement Rates for District ICFIID Due to COVID-19, Medicaid Update: Transmittal 20-43 - 2021 Living Wage Notice and Impact on Reimbursement Rates, Medicaid Update: Transmittal 20-42 Documentation Standards for Services Delivered Via Telemedicine, Medicaid Update: Transmittal 20-41 Updates to the Laboratory Billing Codes and Reimbursement Rates for COVID-19 Testing, Medicaid Update: Transmittal 20-40 Lead Screening and Reporting Requirements in the District of Columbia, Medicaid Update: Transmittal 20-39 Program Year 2020 of the DC Medicaid Promoting Interoperability/EHR Incentive Program, Medicaid Update: Transmittal 20-38 72-hour (3-day) Emergency Supply of Medication, Medicaid Update: Transmittal 20-37 Delivering Psychosocial Rehabilitation Clubhouse Services via Telemedicine, Medicaid Update: Transmittal 20-36 Temporary Enhanced Reimbursement Rates for Adult Substance Abuse Rehabilitation Services (ASARS) Due to COVID-19, Medicaid Update: Transmittal 20-35 Reimbursement for Medical Equipment, Supplies and Appliances, Medicaid Update: Transmittal 20-34 Managed Care Enrollment and Beneficiary Disenrollment, Medicaid Update: Transmittal 20-33 FY 2021 Medicaid Hospice Rates Transmittal, Medicaid Update: Transmittal 20-32 - FQHC PMPM during COVID 19, Medicaid Update: Transmittal 20-20 (Rev.)