D.C. Mun. Regs. tit. 29, r. 29-4513

Current through Register Vol. 71, No. 49, December 6, 2024
Rule 29-4513 - REIMBURSEMENT FOR OUT OF STATE PROVIDERS
4513.1

A FQHC located outside of the District of Columbia that seeks reimbursement for services furnished to District of Columbia Medicaid beneficiaries shall comply with the requirements set forth under Subsection 4500.2 and shall be reimbursed at the PPS rate, as determined by the State Medicaid Program in the state in which the FQHC is geographically located.

4513.2

For Medicaid beneficiaries that are enrolled out of state, the FQHC shall seek reimbursement from the state in which the beneficiary is enrolled. The FQHC shall not seek reimbursement from DHCF.

D.C. Mun. Regs. tit. 29, r. 29-4513

Final Rulemaking published at 64 DCR 907 (2/2/2018)