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DC Health Care Alliance

DC Health Care Alliance

Medicaid – Combined Application for DC - Spanish

Medicaid – Combined Application for DC - Spanish

Medicaid Waiver – Beneficiary Freedom of Choice and Procedure for Assuring Beneficiary Freedom of Choice Form (Office of Disabilities and Aging)

Medicaid Waiver – Beneficiary Freedom of Choice and Procedure for Assuring Beneficiary Freedom of Choice Form (Office of Disabilities and Aging)

Medicaid Waiver – Enrollment Request/Update – DHS Form 30-AW

Medicaid Waiver – Enrollment Request/Update – DHS Form 30-AW

Medicaid/Alliance – Administrative Hearing Request Form

Medicaid/Alliance – Administrative Hearing Request Form

Medicare – Qualified Medicare Beneficiary/Medicare Savings Program Application

Medicare – Qualified Medicare Beneficiary/Medicare Savings Program Application

Medicare Savings Program Application Packet

Medicare Savings Program Application Packet

DC Medicaid – Elderly and Individuals with Physical Disabilities (EPD) Waiver Program

DC Medicaid – Elderly and Individuals with Physical Disabilities (EPD) Waiver Program

Medicaid – Recertification Form - Spanish

Medicaid – Recertification Form - Spanish

Medicaid – Recertification Form

Medicaid – Recertification Form

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