Special Immigrant Visa Status Medicaid Application Information
How to Apply for MAGI- Medicaid?
The MAGI Medicaid groups include: Adults without Dependent Children (ages 21-64), Children (0-18), Children aged 19-20, Parent/Caretaker Relatives and Pregnant Women.
- Online: At districtdirect.dc.gov
Note: If you apply online, you do not need to complete a paper application - Mobile App: Available on Google Play or Apple App stores
- By Phone: Call the Department of Human Services Economic Security Administration Public Benefits Call Center at (202) 727-5355.
- By Mail:
Download an application from districtdirect.dc.gov
Mail your original, signed application (and appendices, if applicable) to:
Department of Human Services
Economic Security Administration
Case Record Management Unit
P.O. Box 91560
Washington, DC 20090
- By Fax:
Download an application from districtdirect.dc.gov
Fax completed application to:
Economic Security Administration
Fax: (202)-671-4400
- In Person: You may apply at any of the ESA Service Centers listed below:
H Street Service Center
645 H St., NE
Washington, DC 20002
Phone: (202) 698-4350
Congress Heights Service Center
4001 South Capitol St., SW
Washington, DC 20032
Phone: (202) 645-4546
Anacostia Service Center
2100 Martin Luther King Ave., SE
Washington, DC 20020
Phone: (202) 645-4614
Fort Davis Service Center
3851 Alabama Ave., SE
Washington, DC 20020
Phone: (202) 645-4500
Taylor Street Service Center
1207 Taylor St., NW
Washington, DC 20011
Phone: (202) 576-8000
For answers to your questions on how to apply, please call the Department of Human Services Economic Security Administration Public Benefits Call Center at (202) 727-5355.
After you submit your application, it can take up to 45 days (or 60 days if you are disabled) for you to hear whether you have been approved for enrollment into the Medicaid program. If you are approved, you will receive a membership card. The Medicaid program requires you to renew your eligibility each year to ensure that you are still eligible to receive Medicaid benefits.
How to Apply for Non-MAGI- Medicaid?
The Non-MAGI Medicaid groups include: SSI recipients, Aged, Blind, and Disabled individuals, Foster Care (IV-E or Non-IV-E), Spend Down, Breast and Cervical Cancer, Long Term Care beneficiaries, and Qualified Medicare Beneficiaries (QMB) and Qualified Medicare Beneficiaries Plus beneficiaries. SSI recipients, Optional State Supplement Payment recipients, and children and youth in foster care are categorically eligible for Medicaid and do not have to submit a DC Health Link or Integrated Application for Medical Assistance.
- Online: At districtdirect.dc.gov
Note: If you apply online, you do not need to complete a paper application - Mobile App: Available on Google Play or Apple App stores
- By Phone: Call the Department of Human Services Economic Security Administration Public Benefits Call Center at (202) 727-5355
- By Mail:
Select below to download a copy of the Combined Application for Medical Assistance.
Mail your completed and, signed integrated application for medical assistance (and appendices, if applicable) to the following address:
Department of Human Services
Economic Security Administration
Case Record Management Unit
P.O. Box 91560
Washington, DC 20090
• By Fax
Fax completed application to:
Economic Security Administration
Fax: (202)-671-4400
• In Person: You may apply at any of the ESA Service Centers listed below
H Street Service Center
645 H St., NE
Washington, DC 20002
Phone: (202) 698-4350
Congress Heights Service Center
4001 South Capitol St., SW
Washington, DC 20032
Phone: (202) 645-4546
Anacostia Service Center
2100 Martin Luther King Ave., SE
Washington, DC 20020
Phone: (202) 645-4614
Fort Davis Service Center
3851 Alabama Ave., SE
Washington, DC 20020
Phone: (202) 645-4500 Taylor Street Service Center
1207 Taylor St., NW
Washington, DC 20011
Phone: (202) 576-8000
How to apply for the DC Healthcare Alliance
To apply for DC HealthCare Alliance, you must:
- Complete the DC Integrated Application for Medical Assistance;
- Show proof that you live in DC;
- Show proof of any income or assets;
- If you have your Social Security Card, you must provide it during the interview;
- If you have a green card, you must provide your Alien Number or your Social Security Card;
- Must have a face to face interview every Six (6) months for continued eligibility
How to submit the combined application and supporting documents.
- Online: At districtdirect.dc.gov
Note: If you apply online, you do not need to complete a paper application - Mobile App: Available on Google Play or Apple App stores
- By Phone: Call the Department of Human Services Economic Security Administration Public Benefits Call Center at (202) 727-5355
- By Mail:
Mail in the Integrated Application for Medical Assistance to the following address:
Department of Human Services
Economic Security Administration
Case Record Management Unit
P.O. Box 91560
Washington, DC 20090
By Fax:
Fax completed and signed application to:
Economic Security Administration
Fax: (202)-671-4400
In person: You may apply for the DC Alliance Program by visiting one of the below service centers:
H Street Service Center
645 H St., NE
Washington, DC 20002
Phone: (202) 698-4350
Congress Heights Service Center
4001 South Capitol St., SW
Washington, DC 20032
Phone: (202) 645-4546
Anacostia Service Center
2100 Martin Luther King Ave., SE
Washington, DC 20020
Phone: (202) 645-4614
Fort Davis Service Center
3851 Alabama Ave., SE
Washington, DC 20020
Phone: (202) 645-4500
Taylor Street Service Center
1207 Taylor St., NW
Washington, DC 20011
Phone: (202) 576-8000
Contact TTY:
711