D.C. Mun. Regs. tit. 29, r. 29-5401

Current through Register Vol. 71, No. 49, December 6, 2024
Rule 29-5401 - PROVIDER QUALIFICATIONS
5401.1

Each fee-for-service primary care provider shall execute a Medicaid managed care provider agreement with the Department.

5401.2

Each fee-for-service primary care provider shall admit or refer all AFDC and AFDC-related Medicaid recipients requiring hospital care only to a hospital located in the District unless:

(a) Emergency care is required and a non-District hospital is the closest emergency facility to the recipient at the time of the emergency; or
(b) The enrollee requires a specialized service not available in a hospital located in the District.
5401.3

Only physicians whose medical specialty is pediatrics, obstetrics/gynecology, internal medicine, family medicine or general medicine shall qualify as fee-for-service primary care physicians.

D.C. Mun. Regs. tit. 29, r. 29-5401

Final Rulemaking published at 42 DCR 1566, 1589 (March 31, 1995)