Medicaid Nursing Home Rates by State

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District of Columbia

Medicaid nursing facility payment · Peer-group price · researched October 2026

The District of Columbia’s Medicaid agency and its state plan are the official source for these rules. This page summarizes them as researched in October 2026; check the state’s own documents, listed under Sources, before relying on them.

At a glance

Rate method

Peer-group price

Case-mix level

Resident-level

Classification

RUG-IV

Rate updates

Every 4 years (Oct rebase); case mix on every claim

Managed care (LTC)

Yes

Quality program

NFQII

Paid outside the rate

Small

Bed hold

Hospital and leave

Published rates

Not published

Assisted living

Covered

Personal needs allowance

$108.74 / month

Overview

• DC pays each nursing home a prospective per diem that is different for each resident.
• It has three parts: (1) a peer-group price for nursing and resident care, multiplied by that resident's case-mix weight from the claim;
• (2) a peer-group price for routine and support costs; and (3) the home's own capital cost per day.
• Each price is the day-weighted median cost per day of the base year x a peer-group factor that DHCF posts by notice.
• There are three peer groups: freestanding homes with more than 75 Medicaid beds, freestanding homes with 75 or fewer, and hospital-based homes.
• If a home's case-mix-adjusted nursing cost is below a floor (91% of its peer price since 10/1/2025), the price is cut by the shortfall.
• Flat per-day add-ons pay for ventilator ($380), behaviorally complex ($86.50) and bariatric ($43.50) residents.
• Rates were last rebased 10/1/2025 (FY2026).
• DHCF does not post per-home rates.

What matters in District of Columbia

• Pay differs by resident: the nursing price is multiplied by each resident's case-mix weight, which is coded on every claim.
• Still RUG-IV (48 groups): DHCF requires the Optional State Assessment with every MDS and collects it itself since CMS support ended.
• Three peer groups; prices = median cost x factors (1.100-1.800 since 10/1/2025); nursing floor at 91% of price.
• A 6% net-revenue provider tax (up from 5.5% on 10/1/2024) funds rates and the quality incentive pool ($8M in FY2019).
• Healthy Families MCOs pay only the first 90 days; dual-eligible residents may instead join a Dual Choice D-SNP that covers the stay.
• Bed holds are paid at 100% of the per diem for up to 18 days a fiscal year; costs use at least 93% occupancy.

Frequently asked

Does DC Medicaid pay nursing homes one rate per facility or per resident?

Per resident. Each claim carries the resident's case-mix (RUG-IV HIPPS) code. Its weight multiplies the home's nursing and resident care price, and DHCF reprocesses the claim if a later review finds the code wrong.

Has DC moved its Medicaid nursing home case mix to PDPM?

No. DHCF still pays on 48-group RUG-IV. Since 10/1/2023 every OBRA MDS must carry the Optional State Assessment, which DHCF now collects in its own DC Care Connect system after CMS support ended.

How does the DC nursing facility floor reduce a home's rate?

If a home's Medicaid case-mix-adjusted nursing cost per day is below 91% of its peer-group price, the price is reduced by the gap. A home that spends less on care is paid less.

How much is paid outside the posted rate in District of Columbia?

Small: the NFQII lump-sum pool ($8M in FY2019) is the only payment found outside the per diem.

What does District of Columbia Medicaid pay on Medicare coinsurance days?

Part A coinsurance paid up to the lesser of the coinsurance, the Medicaid per diem, or the Medicare amount.

Does District of Columbia require a minimum share of spending on care?

Yes, in effect: if a home's nursing cost is below 91% of its peer price, the price is cut by the gap.

How is the District of Columbia nursing home provider tax charged?

6% of net resident revenue since 10/1/2024 (was 5.5%), uniform for all homes, paid monthly.

How the rate is set

How the method got here

Verified October 11, 2026

Cost basis

Uses cost reports

Yes

Cost report

DHCF nursing facility cost report (state form, per the DHCF cost report instruction manual) with audited financial statements, related-party disclosures and home-office cost allocation plans (29 DCMR 6521).

Base year and rebasing

Base year medians, day-weighted medians and peer-group prices are rebased 'not later than October 1, 2021, and every four (4) years thereafter' (29 DCMR 6517.1). DHCF may also update the routine-and-support and nursing components annually (6517.2). The 2/1/2018 rates used 2015 cost reports. Rebases with new factors took effect 10/1/2021 (FY2022) and 10/1/2025 (DHCF notice 'FY2026 Rebased Nursing Rate Changes'). The base years used in 2021 and 2025 were not stated in the notices. Next rebase due by 10/1/2029.

Components

Component	Method	Notes
nursing and resident care	Peer-group price = day-weighted median case-mix-neutralized cost per day x peer-group factor (from 10/1/2025: 1.100 PG1, 1.400 PG2, 1.500 PG3). Multiplied by the resident's RUG weight on each claim. Floor: if the home's Medicaid case-mix-adjusted cost per day is below 91% of the price (all groups, 10/1/2025), the price is reduced by the shortfall.	Covers nursing, non-prescription drugs, pharmacy consultant, medical supplies, lab, radiology, PT/OT/ST for Medicaid residents, respiratory therapy, behavioral health and oxygen (6501.10). Therapy per diem uses Medicaid days and is added before case-mix adjustment (6505.5). Paid feeding assistants are included.
routine and support	Peer-group price = day-weighted median cost per day x peer-group factor (from 10/1/2025: 1.100 PG1, 1.520 PG2, 1.800 PG3). Not case-mix adjusted.	Dietary, laundry, housekeeping, plant operations, admin and general, medical director, social services, activities, medical records, etc. (6501.9).
capital	Home-specific: allowable base-year capital costs / resident days (at least 93% occupancy). Frozen until the next rebase (6507).	New providers get the greater of the peer-group average or median capital per diem. After a change of ownership, the home gets the greater of the peer-group average or the prior owner's capital rate.

Inflation

CMS SNF PPS input price index (SNF market basket): base-year costs other than depreciation, amortization and capital interest are inflated to the midpoint of the District rate year (29 DCMR 6501.7).

Verified October 11, 2026

Case mix

System

RUG-IV

Applied at

Resident-level

How it works

The RUG category from the resident's most recent valid MDS is billed as a HIPPS code on each claim, and its CMI adjusts the nursing and resident care part of the per diem when the claim is paid (29 DCMR 6504.4-6504.7).

Classification

RUG-IV 48-group, version 1.03 'or successor updates', CMS F01 CMIs, index maximizer. Assessments that cannot be classified because of errors get the lowest CMI category (6504.1-6504.3). Since 10/1/2023 the RUG-IV inputs come from the Optional State Assessment (OSA) completed with every OBRA MDS (Transmittal 23-40); residents awaiting a matched OSA may be billed at the RUG-IV default code AAA00 (LTCA bulletin 2/27/2026).

Applies to

Nursing and resident care component only. Routine/support and capital are not case-mix adjusted.

Acuity measured from

The payment uses each resident's own CMI. Price-setting neutralizes base-year cost by the facility-wide (all residents) average CMI, and the floor test uses the home's day-weighted Medicaid CMI from paid claims for the prior federal fiscal year (6505.3, 6505.8).

Updated

Every claim, as residents' MDS assessments change.

Move to PDPM

None; DC kept RUG-IV. DHCF Transmittal 23-40 (8/31/2023) elected to continue RUGs and required the Optional State Assessment with every OBRA assessment from 10/1/2023; claims may be paid at the administrative rate if the OSA is missing. After CMS's OSA support ended on 10/1/2025, homes submit OSAs to DHCF's DC Care Connect system (vendor SFTP), where they are matched to the Medicaid roster to set the RUG score billed on the claim (LTCA informational bulletin 2/27/2026). Transmittal 23-40 said DHCF was building acuity scoring into DC Care Connect to replace RUGs and the OSA, and a DC Care Connect redesign began 2/1/2026 (12 months), but no replacement grouper, PDPM rule or SPA was found. 29 DCMR 6504 (last amended 10/18/2019) and the posted 4.19-D Part I (TN 17-009) still specify RUG-IV, and none of the archived DC SPAs from DC-23-0001 to DC-26-0001 changes the 4.19-D case-mix method.

Verified October 11, 2026

Low-acuity residents

None. No reduced or flat rate for low-acuity groups was found in 29 DCMR Ch. 65 or 4.19-D. Low-acuity residents are paid through their lower RUG-IV weight on the nursing component. MDS assessments that cannot be classified because of errors get the lowest-CMI RUG category (6504.3). Checked: 29 DCMR 6501-6527 (2019 final rule text), 4.19-D Part I.

Verified October 11, 2026

Capital

Actual cost: each home's allowable base-year capital costs (depreciation, interest, rent, equipment rental, property taxes and insurance) / resident days at the greater of actual or 93% occupancy. The amount is frozen until the next rebase. New homes get the peer-group average or median. No fair rental value system.

Verified October 11, 2026

Budget adjustment factor

No standing across-the-board cut. 29 DCMR 6501.14 lets DHCF reduce every home's per diem by the same percentage when needed to stay within the Medicare upper payment limit; no use of it was found. D.C. Code 47-1268(e) makes the provider tax void if the case-mix method is changed so that average Medicaid per diems fall, or if per-resident-day NF funding falls below the FY2005 level. This works as a statutory hold-harmless against cuts.

Verified October 11, 2026

Add-ons and money outside the rate

Paid outside the posted rate

Level

small

Estimate

Under 5% of base, by elimination. The only payment outside the per diem is the NFQII lump-sum pool, $8M in FY2019. With about 17 homes and roughly 2,500 beds, base Medicaid NF spending is on the order of $250-300M a year, so $8M is about 3%. The spending base is an estimate, not from a DC source. No UPL, IGT or directed payments were found.

Components

NFQII performance payments: $8,000,000 (FY2019); later years not found.

Source

https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_co…

Verified October 11, 2026

Payments by owner type

Applies

no

Detail

Peer groups are by bed size and hospital affiliation, not owner type. No IGT-funded, UPL or public-home payments were found in 29 DCMR Ch. 65, 4.19-D or DHCF notices. The 2004 statute's definition of 'case mix reimbursement methodology' listed a peer group for District-owned homes, but the current rule's three peer groups do not use ownership.

Funding

None found.

Source

https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNum…

Verified October 11, 2026

Quality program

Active

Yes

Program

Nursing Facility Quality Improvement Program (29 DCMR 6524-6527; 4.19-D Part I §§ XXIV-XXVII), since 2/1/2018. Reporting track (NFQIR) is mandatory; the incentive track (NFQII) is optional and pays performance payments.

Funding

A share of the Nursing Facility Quality of Care Fund assessments (provider tax) collected in the fiscal year. DHCF gives public notice of the available amount at least 60 days before each measurement year (6527.2). Unused funds return to the Fund.

Size

$8,000,000 for FY2019 (DHCF notice). Later amounts were not found.

Paid as

Annual lump-sum supplemental payment, paid within 180 days after the measurement year ends.

Measures

Measure	Source	Weight	How points are earned
Long-stay quality measures (e.g. pressure ulcers NQF 0679, antipsychotic use, catheter NQF 0684, falls with major injury NQF 0674)	MDS QM (CMS)	per-measure points	75th percentile of all DC homes in the prior period, or any improvement on own prior year
Resident/family satisfaction survey; end-of-life planning	DHCF/state	per-measure points	Attestation with documentation
Hospital utilization (inpatient admissions, all-cause readmissions NCQA 1768, AHRQ preventable admissions)	DHCF claims / NCQA / AHRQ	per-measure points	75th percentile or improvement
Staffing infrastructure (staff turnover/retention, consistent assignment of direct care staff, RN hours per resident day, QAPI documentation)	DHCF / facility reporting	per-measure points	Attestation, 75th percentile or improvement

Scoring period

Federal fiscal year measurement period (first: FY2019, 10/1/2018-9/30/2019). Paid within 180 days after year-end once measures are validated.

Payment formula

Each participating home's share = its share of total Medicaid resident days x its annual performance score (6527.3).

Eligibility

District nursing facilities that elect the NFQII track and submit all required measures. No specific disqualifiers (e.g. IJ citations) were found in the rule.

Cadence

Annual

Scores published

No. Payment letters to each home include its score and award. No public scorecard was found.

Notes

The measure list and points are in the 2019 final rule table (6525). DHCF may change measures by notice (6525.5). Pool amounts after FY2019 were not found on the DHCF NF page or in the DC Register agency listing.

Verified October 11, 2026

Provider tax

Charged

% of net patient revenue

Standard amount

6% of net resident revenue, effective 10/1/2024 (DHCF public notice, 71 DCR, 4/12/2024). Was 5.5%. Statute: 'up to 6% per annum of net resident revenue', set as 'a uniform amount per licensed bed' (D.C. Code 47-1263(a)); it began at $3,600 per licensed bed in FY2005.

Tiers

Who	Test	Amount
Federally operated nursing facilities	public	Not taxed: excluded from the definition of nursing facility (47-1261(7))

Lower for high-Medicaid homes

no

Returned in the rate

No separate tax pass-through or per-day add-on was found. Provider tax expense is excluded from base-year costs (29 DCMR 6501.12). The Fund pays for the case-mix rate system and the NFQII pool, so the tax comes back through rates in general plus the NFQII lump sum. The share returned to each home was not found.

Source

https://code.dccouncil.gov/us/dc/council/code/sections/47-1263

Verified October 11, 2026

Provider tax notes

Nursing Facility Quality of Care Fund assessment (D.C. Code §§ 47-1261 to 47-1269; D.C. Law 15-205, 2004). 6% of net resident revenue from 10/1/2024 (was 5.5%). Self-assessed to the Office of Tax and Revenue by September 1 each year and paid in equal monthly installments. At least 90% of the Fund must go to 'quality of care initiatives', which by statute include the case-mix reimbursement method itself, plus NFQII.

Verified October 11, 2026

Supplemental payments

Only the NFQII performance payment from the Nursing Facility Quality of Care Fund ($8M for FY2019). No NF UPL, IGT, public-home or MCO directed payments were found. DHCF's supplemental payment rulemakings since 2013 cover physicians and outpatient hospitals only.

Verified October 11, 2026

Other add-ons

Per-day add-ons on top of the resident-specific rate (29 DCMR 6501.3), each prior-authorized: (1) Ventilator care $380.00/day (6510.1; no later change notice found). (2) Behaviorally complex care $86.50/day from 10/1/2019 (was $82.00), authorized up to 90 consecutive days at a time. (3) Bariatric care (BMI 40 or more and 2+ staff for 3+ ADLs) $43.50/day from 10/1/2019 (was $39.00). New providers can also get these add-ons. Extraordinary-circumstance adjustments (strike, fire, flood) are possible case by case (6501.15). No COVID-era add-on was found in rule text.

Verified October 11, 2026

Units paid separately

Ventilator, behaviorally complex and bariatric residents are paid through flat add-ons, not separate rate systems. Hospital-based homes form their own peer group (PG3) with higher factors (1.800 routine and support, 1.500 nursing from 10/1/2025). Out-of-state NFs are paid under the host state's Medicaid policy or a negotiated rate, with prior authorization (4.19-D § XXI, revised by SPA DC-24-0015 effective 6/1/2024, which dropped the cap at the host state's estimated rate). No separate pediatric, brain-injury or IMD NF rate was found.

Verified October 11, 2026

Payment rules

Managed care for long-term care

Status

yes

Detail

Voluntary, for dual eligibles only. Dual-eligible NF residents may enroll in a D-SNP under the District Dual Choice program (29 DCMR Ch. 57, effective 2/1/2022) or stay in FFS. DHCF Transmittal 25-30 (12/15/2025) says that when a resident leaves an MCP the remaining stay is covered by FFS or the D-SNP, and tells homes to follow the D-SNP's own process for its enrollees. DC Healthy Families MCOs exclude NF residents (29 DCMR 5501.4(i)) but pay skilled NF stays for enrollees they admit for up to 90 consecutive days (since 10/1/2020); after that the home bills DHCF FFS or the resident moves to long-term-care FFS. The rate D-SNPs pay homes and the number of enrolled NF residents are not published.

Verified October 11, 2026

Who pays

mixed: Most long-stay nursing facility residents are paid fee-for-service by DHCF. 29 DCMR 5501.4(i) excludes 'Individuals Residing in Nursing Facilities' from DC Healthy Families MCOs, but an MCP pays the first 90 consecutive days for an enrollee it admits. Since 2/1/2022 dual-eligible residents may voluntarily enroll in a District Dual Choice D-SNP (29 DCMR 5701.2(c)), which then covers the nursing facility stay instead of FFS (DHCF Transmittal 25-30).

Verified October 11, 2026

Included in the daily rate

Included: nursing, non-prescription drugs and pharmacy consultant, medical supplies, laboratory, radiology, PT/OT/ST, respiratory therapy, behavioral health, oxygen therapy (6501.10), and routine personal hygiene items and central supplies (6501.9). Excluded from allowable costs: prescription drugs (6516). Physician services are billed separately.

Verified October 11, 2026

Bed hold

Hospital stays

Paid. Hospital and therapeutic leave are combined: up to 18 reserved bed days per fiscal year, at 100% of the home's per diem, when in the plan of care and the resident is expected to return.

Leave days

Paid within the same combined 18 days per fiscal year at 100% of the per diem. The family or caregiver signs a leave form and receives medications; incidents during leave must be reported.

Occupancy rule

None. The resident must have stayed at least 1 day in the home.

Notes

MACPAC 2019 listed 'none found'; the rule is in 29 DCMR 950 (Chapter 9), not Chapter 65. Paid reserved days count toward occupancy for rate-setting (6515.2).

Source

https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNum…

Verified October 11, 2026

Personal needs allowance

Per month

108.74

Effective

2026-01-01 (computed: $103.20 base from 1/1/2024 x 2025 COLA 2.5% x 2026 COLA 2.8%; DHCF posts the yearly figure on its General Information page, but that figure was not retrieved)

Notes

29 DCMR Ch. 98 (final rule 9/19/2025; SPA effective 5/12/2024): $103.20 from 1/1/2024 for any NF resident, indexed each year to the SSA COLA. $206.40 for a couple when both are in a NF. $134.16 (indexed) for OSSP recipients in assisted living and certified residential facilities. The PHE had raised it from $70 ($90 VA pension) to $100.

Source

https://dcregs.dc.gov/Common/NoticeDetail.aspx?NoticeId=N142378

Verified October 11, 2026

Medicare coinsurance days

Method

coinsurance_up_to_rate

Rule

Supplement 1 to Attachment 4.19-B, p.3 (1995 pages): 'The coinsurance for Medicare Part A for non-APDRG facilities is limited to the lesser of the coinsurance amount as determined by Medicare Part A, the District Medicaid calculated rate (i.e. per diem), or the Medicare Diagnosis Related Group (DRG) amount.' This caps the coinsurance at the Medicaid per diem; it does not subtract Medicare's payment from the Medicaid rate. DHCF's QMB page says DC Medicaid pays Medicare co-insurance for QMB and full-dual beneficiaries. Treatment of Medicare Advantage SNF cost sharing was not found.

Effect

On Part A days 21-100 the home usually receives the full daily coinsurance ($217/day in 2026), because DC Medicaid per diems for nursing homes are likely above it. Not confirmed against DC claims practice.

Source

https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/publica…

Verified October 11, 2026

Required care spending

Applies

yes

Rule

Prospective floor, not a retroactive recoupment. If a home's nursing and resident care cost per day (from its cost report, adjusted for Medicaid case mix) is below a fixed percentage of its peer-group nursing price, the price is cut by the shortfall: the gap between cost and floor is subtracted from the case-mix-adjusted price, then divided by the home's Medicaid CMI (29 DCMR 6505.6-6505.7; 4.19-D § III.D). The floor is 91% for all peer groups from 10/1/2025 (87.8%/88.9%/89.0% from 10/1/2021; 91%/91%/88.5% from 10/1/2019). It applies to nursing and resident care only.

Source

https://dcregs.dc.gov/Common/NoticeDetail.aspx?NoticeId=N142722

Verified October 11, 2026

Occupancy rules

Applies

yes

Rule

For every cost category (routine and support, nursing and resident care, capital), per-day cost = cost / the greater of actual total paid occupancy (including paid reserved bed days) or 93% of certified total bed days in the cost report period (29 DCMR 6515.2). Homes below 93% occupancy therefore lose part of their costs in the medians and their own capital rate. The therapy per diem uses Medicaid days.

Source

https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNum…

Verified October 11, 2026

MDS accuracy penalties

Claim-level correction: if a later review of the medical record or MDS shows the RUG category billed as the HIPPS code was wrong, DHCF reprocesses the claim with the correct RUG and CMI (6504.7). Assessments with errors default to the lowest CMI (6504.3). No separate percentage penalty program was found.

Verified October 11, 2026

Published rates and changes

How often rates change

A home's rate changes

quadrennial

Table note

Every 4 years (Oct rebase); case mix on every claim

When

Peer-group prices, factors and floors are rebased every 4 years on October 1 (2021, 2025; next by 2029). DHCF may update the routine/support and nursing components annually (6517.2) and change factors, floors and add-ons with 30 days' notice in the D.C. Register (e.g. 10/1/2019). Capital is frozen between rebases. Case mix changes pay with every claim, because each resident's RUG weight is billed on the claim.

Verified October 11, 2026

When rates change

October 1 (District fiscal year). Rebases on 10/1/2021 and 10/1/2025; factor and add-on update on 10/1/2019; method change on 2/1/2018.

Verified October 11, 2026

Posted rates

Home-level rates published

No

Where

https://dhcf.dc.gov/page/medicaid-reimbursement-nursing-facil…

Format

none (DHCF page posts the 29 DCMR Ch. 65 rule, 2018 factor notice and FY2019 NFQII funds notice as PDFs); later factors only in D.C. Register notices

Cadence

Peer-group factors and floors by D.C. Register notice at each rebase/update

History

Factor notices for 2/1/2018, 10/1/2019, 10/1/2021 and 10/1/2025 (DHCF page and DCRegs)

Home identifier

None (no per-home rate files found)

Verified October 11, 2026

Rate build-ups

Published

No

Where

None found. DHCF notifies each home of its rate individually. Only peer-group factors, floor percentages and add-on rates are public.

What they show

Not published: medians, prices, per-home capital and floor tests.

Verified October 11, 2026

Recent changes

Verified October 11, 2026

Assisted living

Medicaid assisted living

Covered

yes

Program

Assisted living services under the 1915(c) HCBS Waiver for Persons who are Elderly and Individuals with Physical Disabilities (EPD Waiver; 29 DCMR Ch. 42 §§ 4216, 4237-4238; renewed 2/7/2022). Requires NF level of care.

What is paid

Services only: an all-inclusive daily rate for personal care and supportive services with 24-hour on-site response, including medication assistance by certified medication aides. Separate PCA services are not paid for ALF residents (2025 rule). Room and board are paid by the resident, typically from SSI plus the District's Optional State Supplemental Payment (OSSP). OSSP recipients in assisted living keep a $134.16 (indexed) personal needs allowance.

Rate

Listed in the DC Medicaid EPD fee schedule (dc-medicaid.com, not accessible). The ALF rate was increased in the 4/25/2025 final rule and with the EPD rate increases noticed for 7/1/2024 and 7/1/2025. The dollar amount was not found.

Limits

EPD waiver slot limits per the CMS-approved waiver; the 50-bed limit for participating ALFs was removed in 2025. ALFs must be licensed under the Assisted Living Residence Regulatory Act and meet HCBS settings rules.

Source

https://dcregs.dc.gov/Common/NoticeDetail.aspx?NoticeId=N140741

Verified October 11, 2026

Sources

1. 29 DCMR Chapter 65 Medicaid Reimbursement to Nursing Facilities - Notice of Final Rulemaking (66 DCR 13663, 10/18/2019; current codified text) · regulation
2. DCRegs Chapter 29-65 section list (all sections last effective 10/18/2019) · regulation
3. DC State Plan Attachment 4.19-D Part I (Reimbursement Principles and Methods for Nursing Facilities; TN 17-009, TN 24-0015 page) · state plan
4. SPA DC-24-0015 (out-of-state nursing facilities, eff. 6/1/2024) · state plan
5. DHCF Medicaid Reimbursement to Nursing Facilities page · agency page
6. DHCF notice: NF Quality Improvement Program available funds FY2019 ($8M) · agency page
7. DHCF notice: peer group factors, floors, behaviorally complex and bariatric rates eff. 10/1/2019 (66 DCR, 9/27/2019) · rate file
8. DHCF notice: peer group factors and floors eff. 10/1/2021 (69 DCR, 2/18/2022) · rate file
9. DHCF notice: FY2026 rebased peer group factors and floors eff. 10/1/2025 (72 DCR, 10/17/2025) · rate file
10. DHCF public notice: increased assessment on nursing facilities to 6% eff. 10/1/2024 (71 DCR, 4/12/2024) · agency page
11. D.C. Code Chapter 12C Nursing Facility Quality of Care Fund; Nursing Facility Assessment (§§ 47-1261 to 47-1269) · statute
12. 29 DCMR 950 Payment for Reserved Beds (eff. 3/9/2018) · regulation
13. 29 DCMR 5501 Enrollment (DC Healthy Families MCO exclusions; current text) · regulation
14. 29 DCMR Ch. 57 D-SNP enrollment (District Dual Choice) final rule (69 DCR, 9/30/2022) · regulation
15. Supplement 1 to Attachment 4.19-B: Payment of Medicare Part A and Part B Deductible/Coinsurance · state plan
16. DHCF Full Duals and QMB page · agency page
17. 29 DCMR Ch. 98 Financial Eligibility for LTC Services - final rule (PNA) (72 DCR, 9/19/2025) · regulation
18. 29 DCMR Ch. 42 EPD Waiver final rule (assisted living changes) (72 DCR, 4/25/2025) · regulation
19. DHCF EPD Waiver Services page · agency page
20. DCRegs D.C. Register notices by agency: Health Care Finance, Department of (checked for NF/PDPM notices 2020-2026) · agency page
21. DHCF Transmittal 23-40: Implementation of the Optional State Assessment (8/31/2023) · agency page
22. DHCF LTCA Informational Bulletin 2/27/2026: NF census submissions and OSA validation; DC Care Connect redesign · agency page
23. DHCF Transmittal 25-30: Nursing Facility Roles and Responsibilities When Admitting MCP Enrollees (12/15/2025) · agency page
24. MACPAC Nursing Facility Payment Policies compendium (2019 baseline, out of date) · secondary

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