District of Columbia Code Division I. Government of District. § 1-307. Medical assistance expansion program establishment.

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) The Mayor may establish a program to expand medical assistance to adult District residents with an annual household income up to 200% of the federal poverty level.

(1) The Mayor may provide medical assistance to eligible residents by making arrangements with managed care providers either on a fee-for-service or capitated basis.

(2) Enrollees of the program shall select a health maintenance organization with a current contract with the District to provide managed care services.

(3) The Mayor shall assign any enrollee who does not choose a provider within a reasonable period of time to the District of Columbia Health and Hospitals Public Benefit Corporation.

(4)(A) In fiscal year 2000, the Mayor may establish a pilot project to expand Medicaid coverage to not more than 2,400 adult District residents.

(B) The funding for the pilot shall be derived by amending the Disproportionate Share adjustment paid to hospitals.

(5) To implement any expansion for adult District residents with an annual household income up to 200% of the federal poverty level the Mayor may:

(A) Seek and obtain all necessary waivers of federal Medicaid statutes, rules, and regulations; and

(B) Amend the District State Medicaid plan.

(b) Repealed.

(c) Beginning on October 1, 2021, the Mayor may modify the standards for eligibility to enroll in a program established by subsection (a) of this section to increase the number of District residents who would be eligible to enroll in the program to the extent such expansion is consistent with the District's budget and financial plan.

(d) The Mayor may provide financial support to providers to register the uninsured in conformity with the financial plan and budget.

(e) Nothing in this section, § 1-307.05, or § 1-307.06 shall be deemed to create or constitute an entitlement or right to medical coverage.

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Cite this article: FindLaw.com - District of Columbia Code Division I. Government of District. § 1-307. Medical assistance expansion program establishment. - last updated January 01, 2024 | https://codes.findlaw.com/dc/division-i-government-of-district/dc-code-sect-1-307-03/

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