Section 29-5300. PURPOSE AND APPLICABILITY

Latest version.

5300.1The purpose of this chapter is to establish the standards under which managed care providers that are to be paid on a fixed, prepaid, capitated basis may qualify to participate as managed care providers serving District residents who are AFDC and AFDC-related Medicaid recipients.

5300.2Only prepaid, capitated providers that meet the criteria in these standards shall qualify to provide services to District residents who are AFDC and AFDC-related Medicaid recipients as managed care providers.

5300.3Prepaid capitated providers applying to provide services to AFDC and AFDC-related Medicaid recipients under this chapter shall not be subject to the standards in Chapter 55 of Title 22 regarding prepaid providers serving other categories of Medicaid recipients.

authority

Unless otherwise noted, the authority for this chapter is D.C. Code, 2001 Ed. §1-307.02; and Mayor’s Order 93 -218.

source

Final Rulemaking published at 42 DCR 1566, 1567 (March 31, 1995).

                    
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