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DHCF: Reimbursement for Out-of-Pocket Expenditures for Managed Care Medicaid Beneficiaries

Thursday, January 31, 2019  
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Reimbursement for Out-of-Pocket Expenditures for Managed Care Medicaid Beneficiaries (2 Transmittals)
Source: DC Department of Health Care Finance, January 31, 2019

Pursuant to the terms of the contract entered into by the Managed Care Organizations (MCOs) and the District of Columbia, each DC Medicaid MCO is required to comply with the terms of the Salazar Settlement Order, including any subsequent Orders entered by the Court in Salazar v. District of Columbia, Civil Action No. 93-452 (TSC) (D.D.C.).

See Transmittal 19-02.

In keeping with requirements of the Salazar Settlement Order (Salazar v. District of Columbia, Civil Action No. 93-452 (TSC) (D.D.C.)), this is the annual transmittal of the Notice of Reimbursement Procedures for Non-Managed Care Class Members' Out-of-Pocket Medical Expenses, for D.C. Medicaid fee-for-service beneficiaries who paid for drug prescriptions, doctor visits, hospitalizations or other covered services that should have been paid by Medicaid.

See Transmittal 19-03.

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