{"data":{"id":"us-dc/d.c.-code-44-671.02","jurisdiction":"us-dc","citation":"D.C. Code § 44-671.02","heading":"Medicaid hospital provider reimbursement.","body":"(a)\nBeginning 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:\n(1)\nMaximum outpatient hospital reimbursements of 110% of the fee-for-service rate methodology set forth in the State Plan; and\n(2)\nMaximum 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.\n\n(b)\nIf 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.\n\n(c)\nThis section shall expire on September 30, 2027.","path":["Title 44. Charitable and Curative Institutions.","Chapter 6B. Medicaid Provider Reimbursement."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/44-671.02","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"db164ddda7cefa1d6dc8633a886c4df2fc7ae556e21358fc4eeb58257e82999c","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-44-671.01","next":"us-dc/d.c.-code-44-671.03"},"notice":"GroundRules: Original legal text. Not legal advice."}