District of Columbia § 44-664.05 Medicaid outpatient hospital access payments; payments to MCOs.

District of Columbia Statutes

§ 44-664.05 — Medicaid outpatient hospital access payments; payments to MCOs.

District of Columbia § 44-664.05

Title 44Charitable and Curative Institutions.

Ch. 6AMedicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements.

Subch. VIIHospital Outpatient Supplemental Payment.

This text of District of Columbia § 44-664.05 (Medicaid outpatient hospital access payments; payments to MCOs.) is published on Counsel Stack Legal Research, covering District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

D.C. Code § 44-664.05 (2026).

Text

(a)For visits and services beginning October 1, 2020, the District shall pay managed care organizations ("MCOs") at a rate sufficient to support payments to hospitals located in the District for outpatient services at a rate that is not less than 130% of the District Fiscal Year 2020 fee-for-service base rate and shall direct MCOs to pay such rate to their participating hospitals located in the District for such services.

(b)No payment shall be made under this section until such time that the Centers for Medicare and Medicaid Services approves the Medicaid State Plan amendment, associated template, and other authorities authorizing the Medicaid payments described in this section. (b-1) For visits and services beginning October 1, 2021, the District shall make fee-for-service outpatient

Free access — add to your briefcase to read the full text and ask questions with AI

(a) For visits and services beginning October 1, 2020, the District shall pay managed care organizations ("MCOs") at a rate sufficient to support payments to hospitals located in the District for outpatient services at a rate that is not less than 130% of the District Fiscal Year 2020 fee-for-service base rate and shall direct MCOs to pay such rate to their participating hospitals located in the District for such services.

(b) No payment shall be made under this section until such time that the Centers for Medicare and Medicaid Services approves the Medicaid State Plan amendment, associated template, and other authorities authorizing the Medicaid payments described in this section.

(b-1) For visits and services beginning October 1, 2021, the District shall make fee-for-service outpatient rate payments to hospitals at a rate that is an aggregate of 100% of Medicaid allowable costs for the fiscal year in which payments are being made.

(c) The Medicaid payment methodologies authorized under this section shall not be altered unless such alteration is necessary to gain approval from the Centers for Medicare and Medicaid Services.