District of Columbia · Regulations
Chapter 29-53 — STANDARDS FOR MANAGED CARE PROVIDERS THAT ARE PAID ON A FIXED, PREPAID, CAPITATED BASIS FOR SERVICES RENDERED TO AFDC AND AFDC-RELATED MEDICAID RECIPIENTS
21 sections
21 sections
- 29 DCMR 53005300. PURPOSE AND APPLICABILITY
- 29 DCMR 53015301. PREPAID CAPITATED PROVIDER QUALIFICATIONS - GENERAL
- 29 DCMR 53025302. SPECIFIC PROVIDER QUALIFICATIONS
- 29 DCMR 53035303. FINANCIAL REQUIREMENTS - PREPAID, CAPITATED PROVIDERS
- 29 DCMR 53045304. REQUIRED INFORMATION
- 29 DCMR 53055305. MARKETING
- 29 DCMR 53065306. EVIDENCE OF COVERAGE
- 29 DCMR 53075307. SERVICE DELIVERY AND QUALITY ASSURANCE REQUIREMENTS GENERAL
- 29 DCMR 53085308. PAYMENT FOR SERVICES
- 29 DCMR 53095309. GRIEVANCE SYSTEM - PREPAID, CAPITATED PROVIDERS
- 29 DCMR 53105310. GRIEVANCE SYSTEM - THE DEPARTMENT
- 29 DCMR 53115311. CONFIDENTIALITY OF INFORMATION - GENERAL
- 29 DCMR 53125312. THIRD PARTY LIABILITY RECOVERY
- 29 DCMR 53135313. SUBCONTRACTS
- 29 DCMR 53145314. AUDIT AND REPORTING REQUIREMENTS
- 29 DCMR 53155315. ACCESS TO INFORMATION
- 29 DCMR 53165316. USE OF INFORMATION AND DATA
- 29 DCMR 53175317. ASSIGNMENT OF RIGHTS
- 29 DCMR 53185318. MEDICAID PROGRAM AND RECIPIENTS HELD HARMLESS
- 29 DCMR 53195319. NON-DISCRIMINATION
- 29 DCMR 53205320. SANCTIONS FOR NON-COMPLIANCE