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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-9. MEDICAID PROGRAM |
Section 29-928. ELECTRONIC PAYMENTS INITIATIVE
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928.1This rule shall govern the requirements for enrollment of D.C. Medicaid providers and suppliers into the Electronic Funds Transfer /Automated Clearing House (EFT/ACH) program, a federally regulated network for the processing of electronic payments.
928.2All prospective D.C. Medicaid providers and suppliers, except those identified in §§ 928.8 and 928.9, shall enroll in the EFT/ACH program by April 1, 2017 as a condition of execution of the D.C. Medicaid Provider Agreement.
928.3Prospective providers and suppliers subject to the requirement of § 928.2 shall either:
(a)Provide documentation of enrollment in the EFT/ACH program with the D.C. Medicaid Provider/Supplier Application; or
(b)Submit the EFT/ACH enrollment form and all required attachments with the Application.
928.4Prospective providers and suppliers subject to the requirement of § 928.2 who fail to meet the requirements set forth in § 928.3 shall be denied enrollment by the Department of Health Care Finance (DHCF) as D.C. Medicaid providers or suppliers.
928.5All currently enrolled D.C. Medicaid providers and suppliers, except those identified in §§ 928.8 and 928.9, shall enroll in the EFT/ACH program by the date designated by DHCF for the individual provider or supplier in order to remain eligible for reimbursement from the D.C. Medicaid program.
928.6DHCF shall provide written notice of the designated date for EFT/ACH program enrollment to all currently enrolled providers and suppliers subject to the requirement of § 928.5 ninety (90), sixty (60), and thirty (30) days prior to the designated date.
928.7If a currently enrolled provider or supplier subject to the requirement of § 928.5 fails to enroll in the EFT/ACH program by the designated date, DHCF shall take action to terminate the provider or supplier’s D.C. Medicaid Provider Agreement pursuant to Chapter 13 of Title 29 DCMR.
928.8District government agencies currently enrolled as D.C. Medicaid providers or suppliers or intending to enroll as D.C. Medicaid providers or suppliers shall not be required to enroll in the EFT/ACH program.
928.9Individuals or entities submitting the D.C. Medicaid Provider/Supplier Application for the sole purpose of obtaining reimbursement for goods or services provided on an emergency or one-time basis shall not be required to enroll in the EFT/ACH program.
928.10DHCF may accept electronic signatures on the EFT/ACH enrollment form and all other required attachments.
928.99DEFINITIONS
When used in this section, the following terms shall have the meanings ascribed:
Automated Clearing House - A funds transfer system governed by 31 C.F.R. Part 210 which provides for the interbank clearing of electronic entries for participating financial institutions.
Electronic Funds Transfer - The electronic transfer of money from one bank account to another, either within a single financial institution or across multiple institutions, through computer-based systems and without the direct intervention of bank staff.
Medicaid Provider/Supplier Application - The general or provider/supplier-specific application document developed by DHCF, and required in order to initiate participation as a D.C. Medicaid provider or supplier.
Provider Agreement – An official enrollment document establishing roles, responsibilities, and rights of a District Medicaid provider/supplier.