D.C. Mun. Regs. tit. 29, r. 29-6520
If a District Medicaid beneficiary is placed in an out-of-state facility in accordance with the requirements of § 6520.5, DHCF shall reimburse the facility in accordance with the Medicaid reimbursement rate of the state in which the facility is located or a negotiated rate, provided that it is not greater than the estimated Medicaid reimbursement rate of the state in which the facility is located.
DHCF shall notify each out-of-state facility, in writing, of its payment rate calculated in accordance with this section.
An out-of-state facility is not required to file cost reports with DHCF.
Each out-of-state facility shall obtain written authorization from DHCF prior to admission of a District Medicaid beneficiary.
DHCF may approve placement of a District Medicaid beneficiary in an out-of-state facility only if DHCF determines there are not nursing facilities in the District with immediate capacity to admit that can provide the appropriate level of care for the beneficiary.
D.C. Mun. Regs. tit. 29, r. 29-6520