District of Columbia Administrative Code

1450 PERSONAL NEEDS ALLOWANCES 1450.1 The Department shall allow each eligible individual to retain a personal needs allowance in accordance with 29 DCMR § 9804.4. 1450.2 Each individual entitled to a personal needs allowance pursuant to § 1450.1 shall retain the personal needs a…

1451 [REPEALED] AUTHORITY: The authority for §§1451 and 1452 is Reorganization Plan No. 3 of 1986, 3 D.C. Code, 2001 Ed. at 382; Commissioner’s Order 70-83 (March 6, 1970), as amended by Mayor’s Order 79-144 (July 11, 1979); Mayor’s Order 75-89 (April 23, 1979); and D.C. Code, 20…

1452 [REPEALED] SOURCE: Final Rulemaking published at 43 DCR 309, 310 (January 26, 1996).; as amended by Final Rulemaking published at 73 DCR 006110 (April 17, 2026). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 1452 AUTHORITY: DC-DCMR Section 6(6) of the D…

1499 DEFINITIONS 1499.1 As used in this chapter, the following terms and phrases shall have the meanings ascribed: Beneficiary - any individual who has received health-care assistance from the District and, if applicable, that individual’s guardian, conservator, personal represen…

1500 GENERAL PROVISIONS 1500.1 This chapter shall apply to persons between fifty (50) and sixty-four (64) years of age whose gross annual income is less than or equal to fifty percent (50%) of the federal poverty line. 1500.2 This chapter implements a waiver of State plan require…

1501 PROVIDER REQUIREMENTS 1501.1 Providers shall meet the following requirements: (a) Be enrolled and certified with MAA; (b) Meet standards established in the State Plan and the demonstration program; and (c) Provide services to recipients in the same scope, quality, and manner…

1502 ELIGIBILITY 1502.1 Participation in the demonstration program shall be limited to District residents who meet the following qualifications: (a) Are between the ages of fifty (50) and sixty-four (64); (b) Have a gross annual income that is at or below the medically needy limi…

1503 ENROLLMENT CEILING 1503.1 The Administrator shall limit the number of persons eligible for enrollment according to demonstration program requirements for budget neutrality. To remain within the demonstration program's budget parameters, the Administrator shall set and modify…

1504 REIMBURSEMENT 1504.1 Consistent with the provider agreements for both the State Plan and demonstration program services, providers shall submit claims for reimbursement to the fiscal intermediary or other MAA designee. SOURCE: Emergency Rulemaking published at 49 DCR 11457 (…

1505 COVERED SERVICES 1505.1 The demonstration program shall cover the Medicaid benefits outlined in the State Plan. Coverage will begin on the first day of the month of application. The MAA shall not authorize retroactive coverage for hospital services, however, the Administrato…

1506 QUALITY ASSURANCE 1506.1 To ensure that clients receive optimal care, MAA shall incorporate quality assurance activities into the health care delivery and administrative system. The quality assurance requirements under Titles XIX and XXI of the Social Security Act shall appl…

1507 GRIEVANCE AND APPEALS 1507.1 Individuals may file grievances in writing with the Administrator. The Administrator shall respond to the grievance in writing within thirty (30) days after the grievance has been files. The Administrator's determination shall be final, and indiv…

1599 DEFINITIONS 1599.1 When used in this chapter, the following terms shall have the meanings ascribed: Administrator - the Senior Deputy Director of the Medical Assistance Administration within the District of Columbia Department of Health. Centers for Medicaid and Medicare Ser…