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Latest News. 2024 CPT/HCPCS Mid-Year Code Update. FY 2025 Medicaid Hospice Rates. Skilled Nursing Rate Changes Effective October 1, 2024. Reimbursement Rate Changes for Behavioral Health Services Effective August 1, 2023. All Late Breaking News>>. What's Hot?
DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people. For those eligible for full Medicaid services, Medicaid pays healthcare providers.
Account Registration. Please select the user type to register for the Web Portal. You will need a valid email address to register. If you do not have one, please create one from any email service provider (e.g., www.yahoo.com, www.hotmail.com etc.)
The online Help guide is a quick way to get answers to some of the most common questions regarding the Web Portal and its functionality.
Provider Search. The Provider Lookup database contains all providers with an open DC Medicaid provider number. The information regarding address and telephone for each provider is what is currently on file with the Department of Health Care Finance and may not always reflect current changes.
Washington, DC 20043-4768 ADA and Pharmacy Claim Forms P.O. Box 34714 Washington, DC 20043-4714 Adjustment/Void Requests P.O. Box 34706 Washington, DC 20043-4706 Medicare Crossover Claim Forms P.O. Box 34770 Washington, DC 20043-4770 837 Claim Transaction Attachments P.O. Box 34631 Washington, DC 20043-4631 ESA Service Centers Customer Service ...
DC Medicaid is a healthcare program that pays for medical services for qualified people. Medical payments are made from both state and federal government Monies. It helps pay for medical services for low-income and disabled people.
General Billing Tips. Medicare Denials – When billing for services denied by Medicare for recipients who are eligible for Medicare and Medicaid, you must attach the EOMB statement of Medicare denial to the hardcopy or upload with online submitted claim.
DC Medicaid is required to send recipients 1095-B forms. Each January, recipients will receive a form if they have received health coverage through the District of Columbia's Medicaid, CHIP, DC Healthcare Alliance, or Immigrant Children's Program(ICP).
Collaborative Care Services, implemented using the Collaborative Care Model (CoCM), integrate behavioral health with primary care through a team of three (3) providers: a primary care provider, behavioral health care manager, and consulting psychiatrist.