District of Columbia denial decoder
Managed care payment path needs confirmation
DHCF states the 2026 amounts are base rates for managed care services, and providers must confirm reimbursement with the managed care plan.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Managed care payment path needs confirmation
DHCF states the 2026 amounts are base rates for managed care services, and providers must confirm reimbursement with the managed care plan.
Next action
Confirm whether the client is FFS or managed care and follow the plan's submission instructions.
Back to District of Columbia rulesWhy this page exists
Denial pages use the same checked state sources as the app.
DHCF Transmittal 25-36: Medicaid Doula Services Rate Change Effective January 1, 2026DC Department of Health Care Finance · CY2026 rates effective January 1, 2026 through December 31, 2026 · checked 2026-06-13DHCF Transmittal 25-36 PDFDC Department of Health Care Finance · Rate table for 99600 HD, 59400 HD, 59514 HD, 59612 HD, 99199 HD, and 99199 HD U8 · checked 2026-06-13DHCF Transmittal 22-34: Doula Benefit, Provider Qualifications, Rates and Reimbursement StandardsDC Department of Health Care Finance · Enrollment, provider qualification, visit limit, billing, and documentation standards effective October 1, 2022 · checked 2026-06-13