4513. REIMBURSEMENT FOR OUT OF STATE PROVIDERS

4513 REIMBURSEMENT FOR OUT OF STATE PROVIDERS 4513.1 A FQHC located outside of the District of Columbia that seeks reimbursement for services furnished to District of Columbia Medicaid beneficiaries shall comply with the requirements set forth under Subsection 4500.2 and shall be reimbursed at the PPS rate, as determined by the State Medicaid Program in the state in which the FQHC is geographically located.. 4513.2 For Medicaid beneficiaries that are enrolled out of state, the FQHC shall seek reimbursement from the state in which the beneficiary is enrolled. The FQHC shall not seek reimbursement from DHCF. SOURCE: Final Rulemaking published at 65 DCR 0907 (February 2, 2018). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 4513