GOVERNMENT of the DISTRICT of COLUMBIA Department of Health Care Finance -*** Office of the Senior Deputy/State Medicaid Director Transmittal# 17-28
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GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Care Finance -*** Office of the Senior Deputy/State Medicaid Director Transmittal# 17-28 To: District of Columbia Medicaid Managed Care Organizations (MCO) From: Claudia Schlosberg, Esq. ~S Senior Deputy Director and State Medicaid Director Date: November 7, 2017 Subject: Mandatory Medicaid Managed Care Network Provider Enrollment in D.C. Medicaid The 21st Century Cures Act requires all Medicaid Managed Care network providers to enroll in State Medicaid programs by January 1, 2018. Section C.5.21.1.15 of your Managed Care contract with the Department of Health Care Finance (DHCF) also requires network provider enrollment with the D.C. Medicaid program. Appendix A of this transmittal lists the Medicaid Managed Care network provider types that must enroll with the D.C. Medicaid program. Appendix B of this transmittal contains a list of all providers who are currently enrolled in the D.C. Medicaid program. By November 9, 2017, please utilize this list to identify the specific providers that need to enroll in the D.C. Medicaid program. Please send this list by e-mail to Lawrence Williams (DHCF) at [email protected]. Appendix C of this transmittal contains a sample MCO Outreach letter. Please distribute the letter electronically to the network providers you identified by November 10, 2017. The outreach letter informs applicable network providers that their D.C. Medicaid applications are due by November 30,2017. The outreach letter also explains that only one D.C. Medicaid application is required even if they receive the same outreach letter from multiple Managed Care plans. For your convenience, DHCF has also set up the following dedicated e-mail address for all inquiries pertaining to the MCO network provider enrollment process: [email protected]. 1 GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Care Finance Appendix A to DHCF Transmittal # 17-28 Adult Day Care Hospital, General Adult Day Health 1915(i) Hospital, LTAC Ambulance, Air Transport Hospital, Psychiatric Private Ambulance, Private Hospital, Psychiatric Public Ambulance, Public ICF/IDD Ambulatory Surgical Centers Ind Xray And Lab Audiologist Independent Lab Birthing Centers Independent X-Ray Clinic, Adlt Alc/Subst Abuse Medical Transportation Broker Clinic, Dental Clinic, Family Planning Nurse Midwives Clinic, Fed Qualified Health Nurse Practitioner Clinic, Mental Health Nursing Facility Clinic, Private Clinic, Youth Alc/Subst Abuse Optician/Optical Dispensary Day Treatment Optometrist Dental FQHC Clinic Pharmacy, Institutional Dentist Pharmacy, Retail Dentist, Group Practice Physician Assistant Doctor Of Osteopathy Physician MD Durable Medical Equipment Physician, Group Practice Early Intervention Podiatrist Hearing Aid Dealer Hemodialysis, Freestanding Radiation Therapy Center Hemodialysis, Hospital Based Rehabiliataion Center Home Health Agency Residential Treatment Center Hospice Adult Day Care Hospital, Emergency Access DC Provider ID NPI TAXONOMY SORT NAME TYPE 010000300 1174526792 332B00000X AMERICAN MEDICAL EQUIPMENT, INC. 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