This plan amendment will permit the District of Columbia Medicaid Program to continue to provide supplemental payments through March 31, 2025 to direct support professionals who are likely to be paid at or near the minimum/living wage for delivering the follow State Plan services: 1905(a) Home Health Agency – Personal Care Aides; Home Health Aides, 1915(i) Adult Day Health Providers – Personal Care Aides employed as Direct Care Support staff, 1915(i) Supported Employment Providers - Certified Peer Specialists.

This amendment is to comply with the requirements of section 5112 of the Consolidated Appropriations Act of 2023. The territory seeks CMS approval (1) to provide continuous eligibility for hospitalized children until the end of a child's inpatient stage if the child would have remained eligible but for having turned 19; and (2) to provide continuous eligibility for children for 12 months or until the child turns 19.

This plan amendment updates the rate setting methodology for freestanding pediatric subacute facilities, effective August 1, 2021.

This plan amendment updates the rate methodology for acute psychiatric inpatient hospital services furnished by Short Doyle/Medi-Cal hospitals and Fee-For-Service/Medi- Cal hospitals, effective December 12, 2023.

This plan amendment authorizes the quarterly nursing home supplemental payment, also known as MQIP, for dates of service in the quarter ending March 31, 2024.

This plan amendment updates the cost settlement process, small rural DSH pool amounts, and removes references to DSH programs that are no longer funded.

This plan amendment updates the quality incentive program for non-specialty nursing homes will continue to recognize improvement in performance and provide for other minor modifications.

This plan amendment makes technical updates to Diagnosis Related Group (DRG) reimbursement rates for hospital inpatient services as authorized in the General Appropriations Act for State Fiscal Year 2023-2024 and editorial changes.