Salazar Escrow Fund Projects
Following the termination of the Salazar Settlement Order in August 2026, the Court transferred the remaining Salazar escrow funds to a Fiscal Agent for administration and distribution in accordance with the parties’ Settlement Agreement.
The Settlement Agreement directs that the remaining funds be used for projects and initiatives benefiting Medicaid-enrolled children and families in the District of Columbia. The following four projects will be funded through the remaining escrow funds.
1. EPSDT Child Health Advisory Experts
Two nationally recognized experts, Kay Johnson and Sara Rosenbaum, are working with the District to improve the Medicaid EPSDT benefit, with particular attention to preventive care provided through well-child visits, also known as EPSDT screens, and more intensive services for children with special health care needs.
This project is currently underway.
2. MCAC Child Health Subcommittee Participation Stipends
Funds will be used to provide a $75/meeting stipend to DC Medicaid beneficiaries who participate in meetings of the Child Health Focused Subcommittee of the Managed Care Advisory Council (MCAC), also known as the Medicaid Advisory Committee/Beneficiary Advisory Committee (MAC/BAC).
The stipends are intended to support and encourage meaningful beneficiary participation in Medicaid policy discussions affecting children and families. The Fiscal Agent will distribute the stipends through June 30, 2028, or until the allocated funds are exhausted, whichever occurs first.
3. Participant-Directed Services Study
Funds will be used to commission a study of participant-directed services for children in Medicaid.
The study, which is to be completed by June 1, 2027, will:
Examine participant-directed service models implemented by other state Medicaid agencies;
Identify options available to states seeking to establish participant-directed programs for children; and
Assess considerations the District would need to address before implementing such a program.
4. Grants to Child Service Organizations
Funds will be used to support projects benefiting members of the Salazar plaintiff class.
Eligible activities include:
Improving access to health care for DC Medicaid-enrolled children;
Strengthening the child-serving health care workforce;
Supporting parent and caregiver education and advocacy;
Enhancing systems for delivering care; and
Helping families obtain and maintain Medicaid coverage.
Requests for Proposals were distributed to the fourteen eligible organizations on September 15, 2026. Proposals are due October 15, 2026.
Eligible Organizations
Children’s Law Center
Safe Shores, The DC Children’s Advocacy Center
Catholic Charities of the Archdiocese of Washington
Advocates for Justice and Education
Legal Aid DC
Latin American Youth Center
Bread for the City
Community of Hope
La Clínica del Pueblo
Unity Health Care, Inc.
Mary’s Center
Whitman-Walker Health
Elaine Ellis Center of Health
Family and Medical Counseling Service, Inc.