DHCF Medicaid Transmittals of Sept. 30, 2021: Transmittal 21-41 Medicaid Hospice Rates.pdf; Transmittal 21-42 COVID-19 Monoclonal Antibodies Infusions Update.pdf

District of Columbia sent this bulletin at 09/30/2021 02:29 PM EDT

 

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 Medicaid Transmittals

 

Thursday, September 30, 2021

 

Transmittal 21-41  FY 2022 Medicaid Hospice Rates

The purpose of this Transmittal is to inform providers that effective October 1, 2021, through September 30, 2022, the Medicaid payment rates for hospice care have been updated in accordance with section 1814(i)(1)(C)(ii)(VII) of the Social Security Act. While this act provides for an annual increase in payment rates for hospice care, the hospice physician services are not increased under this provision. The rates are calculated based on the annual hospice rates established by Medicare and are adjusted to reflect the Medicare Hospice Wage Index for the Washington, D.C. Metropolitan Core Based Statistical Area.

 

Transmittal 21-42  Updates to the Professional Services Billing Codes and Reimbursement Rates for COVID-19 Monoclonal Antibody Infusions

This transmittal provides notice of coverage and reimbursement for Monoclonal Antibody infusions in the professional fee schedule for fee-for-service providers that bill HCPCS and CPT codes on CMS-1500 claim forms, and for providers enrolled in Medicaid Managed Care Organization (MCO) networks. This transmittal amends guidance provided in Transmittal #21-33 COVID-19 Monoclonal Antibody Infusions Update issued August 11, 2021.