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Department of Health Care Finance Announces AmeriHealth to Assume Operations of DC Chartered Health Plan in May

Friday, April 5, 2013

Department of Health Care Finance Announces AmeriHealth to Assume Operations of DC Chartered Health Plan in May

AmeriHealth agrees to pay beneficiary claims for services dated on or after May 1

(Washington, DC) – The Department of Health Care Finance (DHCF) today announced that AmeriHealth Mercy Family of Companies (AMFC) will assume operations of DC Chartered Health Plan, Inc. on May 1, 2013 and will be responsible for the payment of only those beneficiary claims with a date of service on or after this date. As a part of the agreement to assume operations of the DC Chartered Health Plan, AMFC will oversee processing of all outstanding claims with a date of service prior to May 1, 2013, but will not assume financial responsibility. AMFC will identify claims that should have been paid by DC Chartered, and report those results to the Department of Health Care Finance.

On March 1, 2013, a judge approved the sale of some assets of DC Chartered Health Plan Inc., the city’s largest Medicaid insurer, to AmeriHealth Mercy Family of Companies. For additional information on the receivership status and sale of Chartered assets, please visit disb.dc.gov/chartered.

AmeriHealth Mercy Family of Companies (AMFC) is a national leader in Medicaid managed care and other health care solutions for the underserved. AMFC operates in 14 states and serves more than 4.7 million Medicaid, Medicare and CHIP members through its Medicaid managed care products, pharmaceutical benefit management services, behavioral health services and other administrative services. AMFC is a mission-driven company with 30 years of experience serving low-income and chronically ill populations.

The Department of Health Care Finance is the District’s State Medicaid Agency and spends more than $600 million on its managed care program which provides health care for approximately 165,000 Medicaid and Alliance beneficiaries.

For more information on the Department of Health Care Finance, please visit www.dhcf.dc.gov.