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Department of Health Care Finance - DHCF

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Attention Medicaid beneficiaries: If you received a letter from CareFirst Community Health Plan DC-Experian regarding a data breach, 
click here to get the latest information.

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What are Grievances/Appeals (Health Benefits Plan Members' Bill of Rights?

The Health Benefits Plan Members' Bill of Rights is a District of Columbia law that gives any Member of a Health Maintenance Organization (HMO) or other Health Insurance Plans the right to appeal if they are denied coverage. This applies to any health insurance plan’s decision that results in denial, reduction, limitation, termination or delay in covered health care services by the HMO or health plan insurer.

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

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