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Department of Health Care Finance - DHCF

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Attention Medicaid beneficiaries: If you received a letter from CareFirst Community Health Plan DC-Experian regarding a data breach, 
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For information on the Change Healthcare cybersecurity incidentclick here. DHCF operations have not been impacted at this time.

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Behavioral Health Integration

In November of 2019, the Department of Health Care Finance (DHCF) and the Department of Behavioral Health (DBH) proposed a multi-year approach to transform behavioral health care in the District of Columbia. The two agencies began this initiative with a shared vision of establishing a whole-person, population-based, integrated Medicaid behavioral health system. The end goal is to build a system that is comprehensive, coordinated, high quality, culturally competent, and equitable. This work is being carried out in three phases: behavioral health service expansion (Phase I), managed care integration (Phase II), and integrated care payment models (Phase III).
Phase I of the District’s Medicaid behavioral health transformation efforts was initiated in 2019 with DHCF and DBH’s collaboration and joint development of the Section 1115 Waiver. The waiver is intended to provide a broader continuum of behavioral health services and supports for individuals with serious mental illness, substance use disorder, and or other behavioral health needs. Ten new benefits were added over the fiscal year through the waiver program.  

Now that the waiver is operational, the focus has shifted to integrating the continuum of behavioral health services into our managed care program, effective April 1, 2024. Integrating services into the managed care plans allows the plans to see the complete picture of the beneficiary/consumer needs, allowing them to better coordinate care. Planning and development efforts are underway as we focus on assessing provider and managed care plan readiness, completing a behavioral health services rate study, providing tailored technical assistance to behavioral health providers, and identifying the department-level changes necessary for DHCF and DBH. 

How can you stay informed? 
Consider this page a one-stop shop sharing information that comes out of Phase II Managed Care Integration. Both agencies will be posting informational bulletins, transmittals, Director Letters, etc. Below for your convenience as well on their respective websites. 

Informational Bulletins

Director Letters



Stakeholder Meetings 
DHCF and DBH host monthly stakeholder meetings to share information, solicit feedback and offer training opportunities. 

Helpful Resources 

For more information about this integration, contact DHCF and DBH at [email protected]