D.C. Mun. Regs. tit. 29, r. 29-5402
Each fee-for-service primary care provider shall submit the address of each site at which services will be provided to AFDC and AFDC-related recipients to the Department at the time of filing an application for a Medicaid managed care provider agreement.
Each fee-for-service primary care provider that is a clinic, hospital outpatient hospital department or group practice shall submit to the Department at the time of filing an application for a Medicaid managed care provider agreement the name and documentation supporting the qualifications of all primary care physicians that will be rendering service to AFDC and AFDC-related recipients, in a format specified by the Department.
Each fee-for-service primary care provider shall notify the Department in writing of any material change in the information required in § 5402.1 and 5402.2 within thirty (30) days of the date of the change.
D.C. Mun. Regs. tit. 29, r. 29-5402