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Publications

05/27/2014 - 12:00pm

Medicaid – Combined Application for DC

Medicaid – Combined Application for DC

Medicaid – Combined Application for DC (730.53 KB)

05/27/2014 - 12:00pm

DC Government/Office of Health Care Ombudsman and Bill of Rights (OHCOBR) – Insurer’s Reporting Form

DC Government/Office of Health Care Ombudsman and Bill of Rights (OHCOBR) – Insurer’s Reporting Form

DC Government/Office of Health Care Ombudsman and Bill of Rights (OHCOBR) – Insurer’s Reporting Form (432.46 KB)

05/27/2014 - 12:00pm

Conflict of Interest Form

Conflict of Interest Form

Conflict of Interest Form (13.9 KB)

05/27/2014 - 12:00pm

Appeal Form

Appeal Form (1.07 MB)

05/27/2014 - 12:00pm

Pre-existing Condition Plans (PCIP) - Spanish

Pre-existing Condition Plans (PCIP) - Spanish

Pre-existing Condition Plans (PCIP) - Spanish (114.93 KB)

05/27/2014 - 12:00pm

Pre-existing Condition Plans (PCIP)

Pre-existing Condition Plans (PCIP)

Pre-existing Condition Plans (PCIP) (120.48 KB)

05/27/2014 - 12:00pm

Medicare – QMB (Qualified Medicare Beneficiary Program)

Medicare – QMB (Qualified Medicare Beneficiary Program)

Medicare – QMB (Qualified Medicare Beneficiary Program) (93.57 KB)

05/27/2014 - 12:00pm

Medicare Fact Sheet

Medicare Fact Sheet

Medicare Fact Sheet (40.46 KB)

05/27/2014 - 12:00pm

Grievances/Appeals (Health Benefits Plan Members' Bill of Rights)

Grievances/Appeals (Health Benefits Plan Members' Bill of Rights)

Grievances/Appeals (Health Benefits Plan Members' Bill of Rights) (117.34 KB)

05/27/2014 - 12:00pm

DC Medicaid 1115 HIV Waiver Program

DC Medicaid 1115 HIV Waiver Program

DC Medicaid 1115 HIV Waiver Program (43.74 KB)

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