D.C. Mun. Regs. tit. 29, r. 29-9499

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 29-9499 - DEFINITIONS

Medicaid Provider/Supplier Application - The general or provider/supplier-specific application developed by DHCF, and required to initiate participation as a D.C. Medicaid provider or supplier.

Disclosing Entity - A prospective or enrolled Medicaid provider or supplier (other than an individual practitioner or group of practitioners), or a fiscal agent.

Federal Health Care Program - Shall have the meaning ascribed in 42 U.S.C. § 1320a - 7b(f).

In-District Applicants - Prospective Medicaid providers or suppliers that are located inside of the District of Columbia Consolidated Metropolitan Statistical Area, as defined by the United States Census Bureau.

Out-of-District Applicants - Prospective Medicaid providers or suppliers that are located outside of the District of Columbia Consolidated Metropolitan Statistical Area, as defined by the United States Census Bureau.

Provider Agreement - Official enrollment document establishing roles, responsibilities, and rights of a District Medicaid provider/supplier.

D.C. Mun. Regs. tit. 29, r. 29-9499

Final Rulemaking published at 60 DCR 10041 (July 12, 2013)

Authority: An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02 (2006 Repl. & 2012 Supp.)) and Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2008 Repl.)).