My Health GPS Application
Enclosed is the application to be used by primary care providers currently enrolled in DC Medicaid and interested in delivering services under the My Health GPS program. This application will be reviewed by DHCF to determine an entity’s eligibility to provide services under the My Health GPS program. The written application packet must be completed in its entirety. Failure to submit a complete application, including copies of all necessary documents will delay processing of your written application.
The initial application period is between March 1, 2017 and March 31, 2017. Applications are due by 5:00 PM on March 31, 2017 in order to be eligible for beneficiary assignments for the start of the program on July 1, 2017. After March 31, 2017, applications will be accepted and reviewed on an ongoing basis for beneficiary assignments for each subsequent quarter.
Return the completed and signed written application and required documents via email at [email protected], using your organization’s name in the subject line.
Any questions regarding the My Health GPS program should be submitted by email to [email protected].