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Department of Health Care Finance - DHCF
 

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Medicaid MCO Programs

medicaid familyDC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC Medicaid. The DC Healthy Families program covers doctor visits, vision and dental care, prescription drugs, hospital stays, and transportation for appointments. DC Healthy Families also offers special programs for newborn babies, children with disabilities or special health care needs, and people with HIV and AIDS. To find out more about how to qualify for the DC Medicaid program, please select here.

alliance kidsThe DC Healthcare Alliance (“the Alliance”) is a health coverage program that is offered to individuals and families who are not eligible for Medicaid.The Alliance is a locally funded program that includes a range of health care services to include primary care services, doctor visits, prescription drugs, dental services and wellness programs. To be eligible for the Alliance, you must be a resident of the District of Columbia, have no other health insurance, including Medicaid and Medicare and meet a certain income threshold. To find out more about how to qualify for the DC Health Care Alliance, please select here.

 

kids with globe

The Immigrant Children’s Program (ICP) is a health coverage program that is offered to children under age 21 who are not eligible for Medicaid due to citizenship or immigration status. The ICP includes a range of health care services to include primary care services, doctor visits, prescription drugs, dental services, and wellness programs. To be eligible for the ICP, you must be a resident of the District of Columbia, have no other health insurance, including Medicaid and Medicare and meet a certain income threshold. Services covered under the Immigrant Children Program are very similar to the services covered under Medicaid for children under age twenty-one(21).  To find out more about how to qualify for the Immigrant Children’s Program, please select here.

https://hscsnhealthplan.org

Child and Adolescent Supplemental Security Income Program (CASSIP) is a program that provides children and young people (ages 0 up t0 21) who have special health care needs and receive Supplemental Security Insurance (SSI) benefits or are SSI-eligible. The District contracts with a managed care organization (MCO) to provide Medicaid healthcare benefits and additional services to eligible enrollees. Enrollees will have access to preventive health care and specialty care to help with chronic conditions such as asthma, diabetes, and behavioral health needs. In addition, enrollees will have access to emergency care, non-emergency transportation, pharmacy, durable medical equipment, dental care, eye and hearing care, mental health and substance use disorder services, rehabilitation services, maternal health, long term services and supports.

To find out more about how to qualify for the CASSIP program, contact DHCF at (202) 442-5988. 

The current CASSIP MCO is Health Services for Children with Special Needs, Inc. (HSCSN) https://hscsnhealthplan.org