Section: 29-995

MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY

Most recent version of the final adopted rule codified in the D.C. Municipal Regulations (DCMR)


Effective Date : 11/17/2023 12:00:00 AM

Authority : 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)) and 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).

Source : Final Rulemaking published at 44 DCR 5497 (September 26, 1997); as amended by Final Rulemaking published at 50 DCR 3473 (May 2, 2003); as amended by Final Rulemaking published at 50 DCR 9253(October 31, 2003); as amended by Final Rulemaking published at 52 DCR 7021(July 29, 2005); as amended by Final Rulemaking published at 55 DCR 338 (January 11, 2008); as amended by Final Rulemaking published at 56 DCR 005928 (July 24, 2009); as amended by Emergency and Proposed Rulemaking published at 57 DCR 950 (October 8, 2010)[EXPIRED]; as amended by Final Rulemaking published at 59 DCR 147 (January 13, 2012); as amended by Final Rulemaking published at 60 DCR 11955 (August 16, 2013); as amended by Final Rulemaking published at 63 DCR 10443 (August 12, 2016); as amended by Final Rulemaking published at 66 DCR 12981 (October 4, 2019); as amended by Final Rulemaking published at 67 DCR 3713 (April 3, 2020); as amended by Final Rulemaking published at 69 DCR 002147 (March 18, 2022); as amended by Final Rulemaking published at 69 DCR 014963 (December 9, 2022); Source: as amended by Final Rulemaking published at 70 DCR 015107 (November 17, 2023).

Editor's Note :

Rulemaking notices were published in the D.C. Register(DCR) and Adopted Rules were codified into the D.C. Municipal Regulations (DCMR)

  Notice ID Register Category Heading Notice/
Adopted Section 		Register Issue/
Effective Date
R0053427 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
11/17/2023
N133744 Final Rulemaking Health Care Finance, Department of - Notice of Final Rulemaking - Amending 29 DCMR Ch. 9 - Governing Physician Supplemental Payments View Text 11/17/2023
Vol 70/46
N131351 Proposed Rulemaking Health Care Finance, Department of - Notice of Proposed Rulemaking - Amending 29 DCMR Ch. 9 - Governing Physician Supplemental Payments View Text 7/21/2023
Vol 70/29
R0052315 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
12/9/2022
N128318 Final Rulemaking Health Care Finance, Department of - Notice of Final Rulemaking - 29 DCMR Ch. 9 - Governing Physician Supplemental Payments View Text 12/9/2022
Vol 69/49
N127172 Proposed Rulemaking Health Care Finance, Department of - Notice of Proposed Rulemaking - Governing Physician Supplemental Payments View Text 9/16/2022
Vol 69/37
R0051578 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
3/18/2022
N119676 Final Rulemaking Health Care Finance, Department of - Notice of Final Rulemaking - Governing Medicaid Physician Supplemental Payments View Text 3/18/2022
Vol 69/11
N117535 Emergency and Proposed Rulemaking Health Care Finance, Department of - Notice of Emergency and Proposed Rulemaking - Governing Medicaid Physician Supplemental Payments View Text 12/17/2021
Vol 68/51
N108312 Emergency and Proposed Rulemaking Health Care Finance, Department of - Notice of Emergency and Proposed Rulemaking - Governing Medicaid Physician and Specialty Services Rate Methodology View Text 5/21/2021
Vol 68/21
R0040563 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
4/3/2020
N0091099 Final Rulemaking Health Care Finance, Department of - Notice of Final Rulemaking - Governing Medicaid Physician Supplemental Payments View Text 4/3/2020
Vol 67/14
N0087367 Emergency and Proposed Rulemaking Health Care Finance, Department of - Notice of Emergency and Proposed Rulemaking - Governing Physician Supplemental Payments FY20 View Text 11/22/2019
Vol 66/48
R0038840 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
10/4/2019
N0086454 Final Rulemaking Health Care Finance, Department of - Notice of Final Rulemaking - Governing Medicaid Physician and Specialty Services Rate Methodology View Text 10/4/2019
Vol 66/41
N0080094 Emergency and Proposed Rulemaking Health Care Finance, Department of - Notice of Second Emergency and Proposed Rulemaking - Governing Medicaid Physician and Specialty Services Rate Methodology View Text 3/8/2019
Vol 66/10
N0071498 Emergency and Proposed Rulemaking Health Care Finance, Department of - Notice of Emergency and Proposed Rulemaking - Governing Medicaid Physician and Specialty Services Rate Methodology View Text 7/27/2018
Vol 65/30
R0019092 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
8/12/2016
N0059914 Final Rulemaking Health Care Finance, Department of - Notice of Final Rulemaking - Governing Medicaid Reimbursement for Physician and Specialty Services View Text 8/12/2016
Vol 63/34
N0058083 Emergency and Proposed Rulemaking Health Care Finance, Department of - Notice of Emergency and Proposed Rulemaking - Governing Medicaid Reimbursement for Physician-Administered Chemotherapy Drugs View Text 4/15/2016
Vol 63/17
R0014395 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
8/16/2013
N0043770 Final Rulemaking Final Rules Governing Medicaid Physician and Specialty Services View Text 8/16/2013
Vol 60/35
N0041645 Proposed Rulemaking Medicaid Supplemental Paymentd to Physicians and Speciality Services View Text 3/29/2013
Vol 60/14
R0011596 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
1/13/2012
N0017964 Final Rulemaking Physicians and Specialty Services Reimbursement View Text 1/13/2012
Vol 59/2
N0004861 Emergency and Proposed Rulemaking Reimbursement for Physican Rates View Text 10/8/2010
Vol 57/41
R0005822 Adopted Rule MEDICAID PHYSICIAN AND SPECIALTY SERVICES RATE METHODOLOGY View Text Effective:
1/1/1900