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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) Beginning October 1, 2023, the Department shall fund capitation rates for each managed care organization at a level that complies with the minimum reimbursement levels established in § 44-664.05(b-1), and § 44-664.13(a)(2), and that ensures a covered hospital receives:
(1) Maximum outpatient hospital reimbursements of 110% of the fee-for-service rate methodology set forth in the State Plan; and
(2) Maximum inpatient hospital reimbursements equal to the negotiated managed care hospital rates that were in effect on March 31, 2023, for the managed care organization for inpatient hospital services.
(b) If necessary to ensure federal concurrence with the provisions of this section, the Department shall, by September 30, 2023, submit a state plan amendment or a managed care directed payment proposal to the Center for Medicare and Medicaid Services.
(c) This section shall expire on September 30, 2027.
Cite this article: FindLaw.com - District of Columbia Code Division VIII. General Laws. § 44-671.02. Medicaid hospital provider reimbursement. - last updated January 01, 2024 | https://codes.findlaw.com/dc/division-viii-general-laws/dc-code-sect-44-671-02/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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