KodaComplyHome care rules, state by state, in plain EnglishUpdated September 23, 2026

District of Columbia home care rules

DC Health licenses home care agencies, including personal care aide agencies, under 22-B DCMR Chapter 39.

More about District of Columbia

The Department of Health Care Finance (DHCF) pays for personal care through the State Plan and the Elderly and Persons with Physical Disabilities (EPD) Waiver, and DC Healthy Families plans (AmeriHealth Caritas DC, MedStar Family Choice DC, HSCSN) authorize care for their members. Wellpoint DC's members moved to AmeriHealth on August 1, 2026, and older prior authorizations run out October 31.

53 official documents·collected September 22, 2026·checked against them September 23, 2026
License for non-medical home care?YesHome care agency license from DC Health (22-B DCMR Chapter 39). The definition covers personal care, household support and chore services for sick or disabled people. DC Health also lists a separate Home Support Agencies chapter, which we don't hold.
Aide rulesCertified aidesPersonal care aides and home health aides are certified by the Board of Nursing under 17 DCMR Chapter 93
EVVSandata, freeRequired for personal care claims since Dec. 1, 2021, and for fee-for-service skilled nursing and therapy since Jan. 1, 2023
Medicaid health plansChanged Aug. 1Wellpoint DC members moved to AmeriHealth Caritas DC. MedStar Family Choice DC and HSCSN also serve DC Healthy Families members.

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowEffective Aug. 1, 2026 · Revised transmittal Aug. 6, 2026

Wellpoint DC members moved to AmeriHealth — old prior authorizations run out October 31

DHCF moved everyone enrolled with Wellpoint DC (formerly Amerigroup DC) to AmeriHealth Caritas DC on August 1, 2026. Members can switch to MedStar Family Choice DC until January 31, 2027. Referrals and prior authorizations issued before August 1 stay valid through October 31, 2026. Providers must request new prior authorizations from the member's new plan for services not already approved.

What to do: Check the current plan for every client who was with Wellpoint. Ask AmeriHealth or MedStar for new authorizations well before October 31, and join their networks if you haven't.
Read this monthTransmittals 26-16 and 26-17, June 30, 2026

Living wage up to $18.40; Medicaid aide rates unchanged

The District's living wage rose to $18.40 an hour on July 1, 2026. DHCF kept personal care and home health aide rates at $30.76 an hour ($7.69 per 15 minutes), still built on a $21.11 direct support professional wage.

What to do: Check your pay rates and budget, and note that Medicaid rates did not rise with the living wage.
Sources (2)
Read this monthTransmittal 26-03 (rev.), April 2, 2026

Language access rules for all Medicaid providers

Every DC Medicaid provider must give people with limited or no English free, timely language services, including a real-time phone interpreter for scheduling. You may not require clients to bring their own interpreter, or require minors or untrained people to interpret. For health plan members, request services through the plan; for fee-for-service clients, through DHCF's vendor, Context Global. Noncompliance can lead to sanctions or termination of Medicaid enrollment.

What to do: Save the plan contacts and the Context Global details where your schedulers can find them, and tell staff not to use minors or untrained people as interpreters.
For the recordEffective March 1, 2026

New enrollment steps and site visits for EPD Waiver providers

New EPD Waiver providers must attend an information session, send a letter of intent and apply through PDMS within 90 days. DHCF's enrollment vendor, Maximus, will make site visits before and after enrollment for all EPD Waiver providers, including existing ones. DHCF is also rebuilding its DC Care Connect case management system under a 12-month contract that started February 1, 2026.

What to do: If you already serve EPD Waiver clients, keep your files ready for a site visit.

Deadlines coming up

Dates taken from the rules and notices as we read them.

38days
October 31, 2026

Transition period ends for former Wellpoint DC members

Referrals and prior authorizations issued before August 1, 2026 are valid only through this date. Get new ones from AmeriHealth or MedStar.

130days
January 31, 2027

Last day for former Wellpoint members to switch to MedStar Family Choice DC

Members auto-assigned to AmeriHealth Caritas DC can move to MedStar until this date. Check each client's plan before you bill.

130days
January 31, 2027

Aide training programs: annual report and fee due

For Board-approved aide training programs, including ones run by agencies. A 15-day grace period follows, then a late fee until March 31; after March 31 the program loses approval.