Important Health Care Alliance Updates
Beginning October 1, 2025,
- Alliance and the Immigrant Children’s program (ICP) will be combined into one program called Health Care Alliance for Adults and Children.
What is Health Care Alliance (Children)?
The Health Care Alliance (Children) program formerly known as the Immigrant Children’s Program is a program designed to provide health coverage to individuals under the age of twenty-one (21) who are not eligible for Medicaid.
Health Care Alliance (Children) eligibility:
- 20 and under;
- District resident;
- Have income at or below 319% of the federal poverty level (“FPL”) if age 0-18 or have income at or below 216% of the federal poverty level (“FPL”) if age19-20. (See chart below, all income levels subject to a 5% disregard).
- Not eligible for Medicaid.
*There is no resource test.
The District covers the population with household income up to 319% of the Federal Poverty Level
| Category | Children (0-18), 319% | Children (19-20) 216% |
|---|---|---|
| Threshold in FPL | 319% + 5% disregard | 216% + 5% disregard* |
| 1 person household, monthly | $4,228 | $2,884 |
| 2 person household, monthly | $5,712 | $3,896 |
| 3 person household, monthly | $7,196 | $4,908 |
| 4 person household, monthly | $8,683 | $5,923 |
| 5 person household, monthly | $10,167 | $6,935 |
| 6 person household, monthly | $11,651 | $7,947 |
| 7 person household, monthly | $13,138 | $8,962 |
| 8 person household, monthly | $14,622 | $9,974 |
*Figures compiled using 2025 FPL numbers as of January 15, 2025 distributed by the US Department of Health and Human Services (*5% disregard included)
Services that Health Care Alliance (Children) cover:
- Primary Care
- Hospital services
- Emergency transportation
- Dental services and related treatment
- Generic only prescription drugs
- Laboratory services
- Mental Health
- Durable medical equipment
The services offered under the Health Care Alliance Program are very similar to the services offered to children enrolled in DC Medicaid. There is a Fee-For-Service provision for children enrolled in this program.
Services that Health Care Alliance (Children) does not provide:
- Cosmetic surgery or procedures that are not medically necessary
- Recreational therapy or experimental treatment, supplies, equipment or drugs
Health Care Alliance (Children) program enrollees are not eligible for retroactive coverage.