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Department of Health Care Finance - DHCF

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Department of Health Care Finance - DHCF

Department of Health Care Finance

Office Hours
Monday to Friday, 8:15 am to 4:45 pm

Connect With Us
441 4th Street, NW, 900S, Washington, DC 20001
Phone: (202) 442-5988
Fax: (202) 442-4790
TTY: 711
Email: [email protected]

Ask the Director

Agency Performance

Wayne Turnage, MPA

Director

Medicaid – Out of Pocket Reimbursement

Medicaid – Out of Pocket Reimbursement Forms

Out of Pocket Reimbursement Fillable 2026 - English [PDF]
Out of Pocket Reimbursement Fillable 2026 - Spanish [PDF]
Out of Pocket Reimbursement Fillable 2026 - Amharic [PDF]
Out of Pocket Reimbursement Fillable 2026 - French [PDF]
Out of Pocket Reimbursement Fillable 2026 - Chinese [PDF]
Out of Pocket Reimbursement Fillable 2026 - Japanese [PDF]
Out of Pocket Reimbursement Fillable 2026 - Korean [PDF]
Out of Pocket Reimbursement Fillable 2026 - Vietnamese [PDF]

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