In keeping with requirements of the Salazar Court Order, this is the annual transmittal of the [Revised] Notice of Reimbursement Procedures for Non-Managed Care Class Members’ Out-of-Pocket Medical Expenses, for DC Medicaid fee-for-service beneficiaries who paid for drug prescriptions, doctor visits, or hospitalizations that should have been paid by Medicaid. The Notice includes a Medicaid Reimbursement Form to be used by fee-for-service beneficiaries who seek reimbursement. Select here* to view the transmittal and download the Medicaid Reimbursement Form.