GOVERNMENT OF THE DISTRICT OF COLUMBIA

Department of Health Care Finance

May 24, 2014

Dear Long Term Care beneficiary and/or Authorized Representative:

This notice is a follow up to the letter sent to you on May 9, 2014 which informed you of a decision by a federal judge allowing the Department of Health Care Finance (DHCF) to withhold Medicaid payments based upon allegations of fraud. The May 9, 2014 letter also informed you that DHCF notified 13 agencies of the government’s intent to terminate them from participating in the Medicaid program by mid-July of this year.

This notice is to advise you that on May 23, 2014, the Department of Health Care Finance (DHCF) sent written notice that the government will exercise its contractual right to terminate six home care agencies from the Medicaid program effective July 15, 2014 (see below). The six providers that will receive termination notices may appeal this decision by requesting a hearing with the Office of Administrative Hearings within fifteen (15) days of the date of the final notice of termination.

ABA Home Health Care / T&N Reliable Nursing Care
Nursing Enterprises / Global
Nursing Unlimited / Vizion One

You are receiving this notice because you may be currently receiving services from one of the agencies scheduled to be terminated from the Medicaid program. You are also advised that you have a right to remain with your current provider but there is a risk that your services could stop as these providers are under payment suspension and are no longer being paid by DHCF at this time. To ensure that your services continue without stopping, DHCF is offering you the option to choose another home care agency.

If you would like DHCF to assist you to transfer to another home care agency, or if you have questions about your services, please call us at the DHCF Long Term Care Hotline: 202-442-9533 or the DHCF Home Health Agency at 202-478-9300. DHCF has a list of qualified providers who will be able to provide you with the services you need.