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DHCF Announces Intent to Award Medicaid Managed Care Contracts to Meet Major Milestone on the Path to Medicaid Reform

Thursday, July 16, 2020

Washington, DC- Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) submitted to the Council of the District of Columbia a notice of intent to award three contracts for the District’s Medicaid managed care program. The proposed awardees are AmeriHealth Caritas District of Columbia, Inc., MedStar Family Choice, and CareFirst BlueCross BlueShield Community Health Plan District of Columbia (formerly known as Trusted Health Plan).

“The selection of these three plans marks a major milestone in the District’s efforts to reform the Medicaid program. Through these new contracts, DHCF will implement universal contracting, expand value-based purchasing, and implement universal contracting to ensure a greater focus on access and accountability,” said Deputy Mayor for Health and Human Services and Department of Health Care Finance Director Wayne Turnage. “We look forward to our partnership with the plans as we expand and strengthen the managed care program for the Medicaid, Alliance, and Immigrant Children’s programs.”

In addition to strengthening access and accountability, the managed care program will expand to include nearly 20,000 new beneficiaries that are currently served through the fee for service Medicaid program. “The proposed awardees are well rooted in our community and will be strong partners as we work towards building a healthcare system that provides whole person care,” said Medicaid Director Melisa Byrd. “Over the next five years, we expect that the proposed awardees will leverage their significant District experience to help us achieve our goal to improve health outcomes, improving the lives of District residents in the process.”

AmeriHealth Caritas DC

AmeriHealth Caritas District of Columbia, a member of the AmeriHealth Caritas Family of Companies, is excited about this opportunity to continue serving the people of the District of Columbia, providing them with access to the quality care and services they deserve. AmeriHealth is committed to bringing innovative services and solutions to help build healthy communities throughout the District, helping residents improve their overall health and realize their full potential.

MedStar Family Choice DC

MedStar Family Choice (MFC) is a proud member of MedStar Health, the largest not-for-profit health system in the mid-Atlantic region. In the District, MFC will work closely with its sister organizations, including MedStar Washington Hospital Center, MedStar Georgetown University Hospital, MedStar National Rehabilitation Hospital, MedStar Medical Group, and MedStar Visiting Nurse Association, to serve the Medicaid population. MFC will also work closely with other physicians and providers in the District to ensure that its enrollees have access to the full scope of health services they require. For more information, please visit www.medstarfamilychoice.com.

CareFirst BlueCross BlueShield Community Health Plan DC

CareFirst BlueCross BlueShield (CareFirst) purchased Trusted Health Plan (District of Columbia), Inc. (Trusted) earlier this year and recently announced the new plan name of CareFirst BlueCross BlueShield Community Health Plan District of Columbia (CareFirst CHPDC). As a community-focused healthcare company, CareFirst is committed to its mission to increase access and affordability, and meet healthcare needs at every stage and in every circumstance of life. CareFirst will couple its deep experience managing care for high acuity populations with CHPDC’s through a high-touch model of care that promises comprehensive care for District enrollees in the Medicaid program.

The DC Department of Health Care Finance is the District of Columbia’s State Medicaid Agency. For more information, please visit www.dhcf.dc.gov.