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dhcf

Department of Health Care Finance - DHCF
 

DC Agency Top Menu

Attention Medicaid beneficiaries: If you received a letter from CareFirst Community Health Plan DC-Experian regarding a data breach, 
click here to get the latest information.

For information on the Change Healthcare cybersecurity incidentclick here. DHCF operations have not been impacted at this time.

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Services

Advice
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Information on insurance coverage, managed care and your rights to medically necessary health care by your insurance company.
Health Care Alliance
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This program serves residents with no other insurance and not eligible for Medicaid or Medicare.

DC Healthy Families
Family of four

DC Healthy Families program covers doctor visits, vision/dental care, prescriptions and more.

Grievances/Appeals
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Information on submitting an appeal to a health insurance denial, or other delay in covered health care services.
Health Care Alliance
Family members together

This program serves residents with no other insurance and not eligible for Medicaid or Medicare.

How to Apply for Medical Coverage
Young boy at medical center

Information and eligibility for applying to the MAGI Medicaid program.

What is Medicaid?
What is Medicaid?

Information on Medicaid services in the District including coverage and eligibility.

How to Renew Your Medical Coverage
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Information on which groups are eligible under the MAGI methodology.

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Submit a Claim for Undue Hardship: 

Immigrant Children's Program
Children learning

This program provides coverage to individuals under the age of twenty-one (21) who are not eligible for Medicaid.

Medicaid
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Medicaid helps pay for medical services for low-income and disabled people.

Medicaid for Breast and Cervical Cancer Patients
Four women

Medicaid coverage qualification information for District of Columbia residents.

Report Medicaid Fraud and Abuse
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Click here to report fraud and abuse. 

Request for Application for Grant Funding
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Information on applying for grant funding.

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To request a determination for non-covered services or to review pricing on existing services, please fill out the form below and submit it to DHCF’s Coverage Determination Committee at [email protected]. In the rare situation of a life-threatening condition, do not submit this form. Instead, please call (202) 724-8936.

Right Rx Initiative
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Right Rx provides decision and administrative support to clinicians to facilitate ease of prescribing and appropriate use of medications by Medicaid beneficiaries

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Special Immigrant Visa Status Medicaid Application Information

Types of Long-Term Care Services
Caregiver and patient
Home and Community Based Waivers  
Who may be Eligible for Medicaid?
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General information about Medicaid eligibility for District residents.