{"data":{"id":"us-dc/d.c.-code-4-204.61","jurisdiction":"us-dc","citation":"D.C. Code § 4-204.61","heading":"Definitions.","body":"For the purposes of this part, the term:\n\n(1)\n“Case mix reimbursement methodology” means a prospective Medicaid payment rate system for nursing facilities that includes:\n(A)\nA point-of-sale prescription system;\n(B)\nA resident classification system based on resident acuity and needs; and\n(C)\nThe following 3 peer groupings for rate purposes:\n(i)\nAll freestanding nursing facilities, except those owned by the District of Columbia;\n(ii)\nAll hospital-based nursing facilities; and\n(iii)\nAll nursing facilities owned by the District of Columbia.\n\n(2)\n“Medicaid” means the medical assistance programs authorized by title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396 et seq.), and by § 1-307.02, and administered by the Department of Health.\n\n(3)\n“Nursing facility” means a health care facility as defined in § 44-501(a)(3), but does not include a health care facility operated by the federal government.","path":["Title 4. Public Care Systems.","Chapter 2. Public Assistance.","Subchapter IV. Medicaid Program Administration.","Part D. Nursing Facilities Medicaid Reimbursement."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/4-204.61","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"1926de2af2fe442ac53542b9098c64e5f7bea9004eea530d75e93a9d3eda5b72","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-4-204.56","next":"us-dc/d.c.-code-4-204.62"},"notice":"GroundRules: Original legal text. Not legal advice."}