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Medicaid Reform

Medicaid Reform 

Over the past several years, the District of Columbia has made significant improvements in providing healthcare coverage to District residents. DC’s uninsured rate of 3.2% is second lowest in the country, behind Massachusetts. DC Medicaid, Health Care Alliance and Immigrant Children’s Program provide healthcare coverage to over 275,000 individuals, nearly 40% of District residents. However, health challenges remain despite high levels of healthcare coverage. Over the next five years, DHCF is undertaking an ambitious plan to transform the Medicaid delivery system to improve health outcomes. 

Reform Focus 

  • Value over volume 
  • Better coordinated care 
  • Increased access to care 


Reform Path 



  • Increase coordination between Medicare and Medicaid via Highly Integrated Dual Special Needs Plans (HIDE-SNP) 


  • New Managed Care Contracts that include Long Term Care Services and Supports (LTSS)
  • Increase coordination between Medicare and Medicaid via Fully Integrated Dual Special Needs Plans (FIDE-SNP) 


This page will be updated with more information as it becomes available, and you may subscribe to email updates by contacting [email protected].