Salazar Documents and Archive
For more than three decades, Salazar v. District of Columbia helped drive fundamental improvements in the District’s Medicaid program, particularly in the processing of Medicaid applications and recertifications, and its administration of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children and young adults under age 21. Filed in 1993, the case was governed by a federal court Consent Order beginning in 1999 and remained under court supervision until August 17, 2026.
This archive provides access to the Settlement Agreements, the Consent Order, court and administrative decisions, government agency materials, and advocacy and policy documents related to the litigation and the District’s Medicaid program.
Please note: The Salazar Consent Order and federal court supervision have ended. For information about activities continuing under the Settlement Agreement, including projects funded through the remaining Salazar escrow funds, please visit the Salazar Settlement Agreement.
Settlement Agreement and Class Notices
These materials include the Settlement Agreement, effective October 31, 2025, and finally approved on August 17, 2026, which ended the consent decree and governs the transition through October 31, 2027. They also include notices to class members issued before final approval.
Settlement Agreement (including attachments)
Federal Court Orders and Administrative Decisions
These pages include the federal court’s 1996 decision finding Medicaid violations, the 1999 Consent Order, and later orders enforcing and modifying the decree. They also include DC Office of Administrative Hearings decisions in beneficiary appeals involving Medicaid eligibility, covered services, reimbursement, and related agency determinations.
Government Agency Documents
These pages include federal Medicaid guidance, correspondence, oversight reviews from the Centers for Medicare & Medicaid Services, as well as District materials—including policies, reports, provider transmittals, and other documents—showing how DC agencies administered Medicaid and implemented requirements addressed in the Salazar litigation.
Advocacy and Policy Materials
These materials include comments and other advocacy documents addressing Medicaid policies and regulations relevant to beneficiaries.