District of Columbia § 44-671.02 Medicaid hospital provider reimbursement.

District of Columbia Statutes

§ 44-671.02 — Medicaid hospital provider reimbursement.

District of Columbia § 44-671.02

Title 44Charitable and Curative Institutions.

Ch. 6BMedicaid Provider Reimbursement.

This text of District of Columbia § 44-671.02 (Medicaid hospital provider reimbursement.) 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 § 44-671.02 (2026).

Text

(a)Beginning October 1, 2023, the Department shall fund capitation rates for each managed care organization at a level that complies with the minimum reimbursement levels established in §§ 44-664.05(b-1) and 44-664.13(a)(2) , and that ensures a covered hospital receives:

(1)Maximum outpatient hospital reimbursements of 110% of the fee-for-service rate methodology set forth in the State Plan; and

(2)Maximum inpatient hospital reimbursements equal to the negotiated managed care hospital rates that were in effect on March 31, 2023, for the managed care organization for inpatient hospital services.

(b)If necessary to ensure federal concurrence with the provisions of this section, the Department shall, by September 30, 2023, submit a state plan amendment or a managed care directed pa

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(a) Beginning October 1, 2023, the Department shall fund capitation rates for each managed care organization at a level that complies with the minimum reimbursement levels established in §§ 44-664.05(b-1) and 44-664.13(a)(2) , and that ensures a covered hospital receives:

(1) Maximum outpatient hospital reimbursements of 110% of the fee-for-service rate methodology set forth in the State Plan; and

(2) Maximum inpatient hospital reimbursements equal to the negotiated managed care hospital rates that were in effect on March 31, 2023, for the managed care organization for inpatient hospital services.

(b) If necessary to ensure federal concurrence with the provisions of this section, the Department shall, by September 30, 2023, submit a state plan amendment or a managed care directed payment proposal to the Center for Medicare and Medicaid Services.

(c) This section shall expire on September 30, 2027.