{"data":{"id":"us-dc/d.c.-code-44-663.05","jurisdiction":"us-dc","citation":"D.C. Code § 44-663.05","heading":"Medicaid outpatient hospital access payments.","body":"(a)\n(1)\nFor visits and services beginning October 1, 2016, quarterly Medicaid outpatient hospital access payments shall be made to each private hospital.\n(2)\nEach payment will be equal to the hospital's DFY 2014 outpatient Medicaid payments divided by the total in District private hospital DFY 2014 outpatient Medicaid payments multiplied by 1/4 of the total outpatient private hospital access payment pool.\n(3)\nThe total outpatient private hospital access payment pool is equal to the total available spending room under the private hospital outpatient Medicaid upper payment limit for DFY 2017.\n\n(b)\n(1)\nFor visits and services beginning October 1, 2016, outpatient hospital access payments shall be made to the United Medical Center.\n(2)\nEach payment will be equal to one quarter of the total outpatient public hospital access payment pool.\n(3)\nThe total outpatient public hospital access payment pool is equal to the total available spending room under the District-operated hospital outpatient Medicaid upper payment limit for DFY 2017.\n\n(c)\nThe quarterly Medicaid outpatient hospital access payments shall be made within 15 business days after the end of each DFY quarter for the Medicaid visits and services rendered during that quarter.\n\n(d)\nNo payments shall be made under this section until such time that the federal Centers for Medicare and Medicaid Services approves the Medicaid State Plan amendment authorizing the Medicaid payments described in this subchapter.\n\n(e)\nThe Medicaid payment methodologies authorized under this subchapter shall not be altered in any way unless such alteration is necessary to gain federal approval from the Centers for Medicare and Medicaid Services.","path":["Title 44. Charitable and Curative Institutions.","Chapter 6A. Medicaid Hospital Outpatient Supplemental Payments and Medicaid Hospital Inpatient Rate Supplements.","Subchapter V. 2016 - 2017 Medicaid Hospital Outpatient Supplemental Payment. [Expired]"],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/44-663.05","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"118eee106c4f0ccb1b414156aa4273fefb5f86589385e34b44e6da54290da6b6","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-44-663.04","next":"us-dc/d.c.-code-44-663.06"},"notice":"GroundRules: Original legal text. Not legal advice."}