6516 REIMBURSEMENT FOR OUT OF STATE FACILITIES

6516.1 If a facility is located outside the District of Columbia ("District"), MAA shall reimburse the facility for care rendered to a District Medicaid recipient in accordance with the Medicaid reimbursement policy of the state in which the facility is located.

6516.2 MAA shall notify each out-of-state facility, in writing, of its payment rate calculated in accordance with this section.

6516.3 An out-of-state facility is not required to file cost reports with MAA.

6516.4 Each out-of-state facility shall obtain written authorization from MAA prior to admission of a District Medicaid recipient in accordance with the requirements set forth in sections 905.3 and 905.4 of Title 29 DCMR.

SOURCE: Final Rulemaking published at 53 DCR 1370 (February 24, 2006).