D.C. Mun. Regs. tit. 29, r. 29-10402
DHCF will provide fee-for-service reimbursement of emergency medical ground transportation services provided to District Medicaid-enrolled beneficiaries to eligible providers in accordance with the reimbursement rates set forth in the District of Columbia Medicaid Fee Schedule. The Medicaid Fee Schedule is located on the DHCF website at: https://www.dc-medicaid.com/dcwebportal/home. Medicaid fee-for-service reimbursement for emergency medical ground transportation services includes reimbursement for the services outlined below:
All claims paid using interim rates for services provided during the reporting period, shall be subject to the reconciliation process set forth in § 10405.
Reconciliation of payments, pursuant to the process set forth in § 10405, may result in the identification and remittance of an additional payment owed to the eligible provider or identification and recoupment of any overpayment due to DHCF.
Following the close of each reporting year, DHCF may utilize audited financial data in the cost report to update interim rates for covered emergency medical ground transportation services, as identified in § 10402.1, for eligible governmental providers.
All future updates to the reimbursement rates for emergency medical ground transportation services shall comply with the public notice requirements set forth under § 988.4 of Chapter 9 of Title 29 DCMR and provide an opportunity for meaningful comment.
A public notice of emergency medical ground transportation rate changes shall be published in the D.C. Register at least thirty (30) calendar days in advance of the change and shall include a link to the Medicaid fee schedule and information on how written comments can be submitted to DHCF.
D.C. Mun. Regs. tit. 29, r. 29-10402