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Department of Health Care Finance - DHCF
 

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Request for Determination of Coverage and Pricing

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.

Contact TTY: 
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