To receive Medicaid reimbursement for personal care aide (PCA) services, the beneficiary shall first exhaust all available PCA hours provided under the State Plan for Medical Assistance (Medicaid State Plan).
To be eligible for Medicaid reimbursement of PCA services under the EPD Waiver program, each beneficiary shall have an assessed need for PCA services as established by the conflict- free assessment that cannot be met by State Plan PCA services alone.
D.C. Mun. Regs. tit. 29, r. 4227