District Of Columbia § 1-307.03(Perm) - Medical assistance expansion program establishment.
Full text of District Of Columbia D.C. Code § 1-307.03(Perm) — Medical assistance expansion program establishment., with citation guidance and answers to common questions.
§ 1-307.03(Perm). Medical assistance expansion program establishment.
1-307.03(Perm)*NOTE: This codification is the most current, due to recent law changes. To see the current law (including emergency and temporary legislation, if relevant) click this link: *
The Mayor shall establish a program to expand medical assistance to adult District residents with an annual household income up to 200% of the federal poverty level.
The Mayor may provide medical assistance to eligible residents by making arrangements with managed care providers either on a fee-for-service or capitated basis.
Enrollees of the program shall select a health maintenance organization with a current contract with the District to provide managed care services.
The Mayor shall assign any enrollee who does not choose a provider within a reasonable period of time to the District of Columbia Health and Hospitals Public Benefit Corporation.
In fiscal year 2000, the Mayor may establish a pilot project to expand Medicaid coverage to not more than 2,400 adult District residents.
The funding for the pilot shall be derived by amending the Disproportionate Share adjustment paid to hospitals.
To implement any expansion for adult District residents with an annual household income up to 200% of the federal poverty level the Mayor shall:
Seek and obtain all necessary waivers of federal Medicaid statutes, rules, and regulations; and
Amend the District State Medicaid plan.
The Mayor shall establish a program to provide medical assistance to undocumented children not eligible for coverage under Medicaid who reside in the District and have an annual household income up to 319% of the federal poverty level for children age 18 or younger, and up to 216% of the federal poverty level for children ages 19 and 20. In determining a household income under this subsection, the Mayor may implement an income disregard amount, based on family size, of up to 5% of the federal poverty level or such higher percentage as may be authorized by the federal government as an income disregard for the determination of eligibility for Medicaid.
The Mayor may provide medical assistance to eligible residents by making arrangements with managed care providers either on a fee-for-service or capitated basis.
Upon the Mayor's determination of a resident's eligibility for the program, the Mayor shall enroll the resident in the program and assign the enrollee to a health maintenance organization with a current contract with the District to provide health care services for program enrollees.
For a period of time of at least 30 days after the Mayor's assignment of an enrollee under paragraph (2) of this subsection, the enrollee may choose to enroll in a different health maintenance organization with a current contract with the District to provide health care services for program enrollees.
In fiscal year 2000, the Mayor shall establish a pilot program to provide medical assistance to not more than 500 immigrant children not eligible to be covered under Medicaid.
Beginning on October 1, 2021, the Mayor may modify the standards for eligibility to enroll in a program established by subsections (a) and (b) of this section to increase the number of District residents who would be eligible to enroll in the program to the extent such expansion is consistent with the District's budget and financial plan.
The Mayor may provide financial support to providers to register the uninsured in conformity with the financial plan and budget.
Nothing in this section, , or shall be deemed to create or constitute an entitlement or right to medical coverage.
Annotations
Section 5052 of provided: “By October 1, 2008, the Mayor shall submit to the Council a Medicaid state plan amendment that will increase the specialty physician and primary care physician reimbursement rates under the District Medicaid fee-for-service program to match the specialty physician and primary care physician reimbursement rates under the federal Medicare program.”
Short title: Section 5051 of provided that subtitle T of title V of the act may be cited as the “Medicaid Fee-For-Service State Plan Amendment Act of 2008”.
Source: official District Of Columbia text · Last verified 2026-08-27
Frequently Asked Questions About District Of Columbia § 1-307.03(Perm)
What does D.C. Code § 1-307.03(Perm) cover?
Section 1-307.03(Perm) ("Medical assistance expansion program establishment.") is part of the D.C. Code, the codified statutory law of District Of Columbia. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite District Of Columbia § 1-307.03(Perm)?
A common citation format is "D.C. Code § 1-307.03(Perm)" (District Of Columbia). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of District Of Columbia law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the District Of Columbia official source linked on this page or consult a licensed District Of Columbia attorney.
How does District Of Columbia § 1-307.03(Perm) apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in District Of Columbia can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in District Of Columbia.