Medicaid Update: Transmittal 16-17 -National Children’s Mental Health Awareness Week and Mental Health Screening in Pediatric Primary Care

Tuesday, May 24, 2016 – In recognition of Mental Health Awareness month and National Children’s Mental Health Awareness Week, the purpose of this transmittal is to inform EPSDT providers about the importance of mental health screening in the primary care setting, and other resources available in the District.

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Medicaid Update: Transmittal 16-11: Medicaid Primary Care Provider Rate Permanent Ext. for Qualified Physicians Advanced Practice RNs

Tuesday, May 24, 2016 – As a follow-up to Transmittal 15-43 published on November 5, 2015, the purpose of this transmittal is to alert primary care providers of a permanent rate increase for primary care services which became effective on January 1, 2016. The enhanced payment applies to both fee-for-service and managed care claims. Qualified primary care service providers receiving payment through another provider such as a hospital, a clinic, or a federally-qualified health center are not eligible for the increased payment.

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Medicaid Update: Transmittal 16-14 -New Policies and Processes for Newborns Enrollment into DC Medicaid

Monday, May 23, 2016 – The Department of Health Care Finance, in collaboration with the Department of Human Services Economic Security Administration (ESA), is changing its policies and procedures to improve our agencies’ ability to effectively enroll and track newborns eligible for Medicaid. This transmittal provides new policy and procedural guidance to DC Medicaid hospital providers on the submission and enrollment process for newborn babies born to Medicaid fee-for-service mothers. Previously, both hospitals and managed care organizations (MCOs) were submitting enrollment information to ESA when they became aware of a newborn birth. However, this policy resulted in duplicate and delayed enrollments and created challenges with tracking the enrollment status for newborns. (fillable form can be found on DHCF’s Website)

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View Newborn Enrollment Form »