Department of Health Care Finance



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GOVERNMENT OF THE DISTRICT OF COLUMBIA

DC MEDICAID – DC HEALTHY FAMILIES

What is DC Healthy Families?

DC Healthy Families is a program of the DC Department of Health Care Finance that provides free health insurance for District residents who meet certain income and U.S. citizenship or eligible immigration status.

 

Who is eligible for DC Healthy Families/MAGI-Medicaid?

DC Healthy Families provides free coverage to resident who: 

• Live in the District of Columbia;

• Do not have health insurance;

• Adults (age 21-64) without dependent children;

• Pregnant women;

• Parents/caretaker relatives; and

• Children under the age of twenty-one (21).

What happens once I apply for DC Healthy Families?

Once you apply for DC Healthy Families, it takes about 30/45 days for determination of your eligibility for Medicaid programs. Upon determination of your eligibility, you may qualify for managed care, fee-for-service or a waiver program. Presently, there are the following three (3) health plans and one (1) special needs program:

• AmeriHealth DC

• MedStar Family Choice DC

• Trusted Health Plan, Inc.

• Health Services for Children with Special Needs, Inc. (HSCSN)

What services does DC Healthy Families cover?

• Physician visits and check-ups (physicals, mammograms, etc.);

• After Hours Care-24 hours per day, 7 days per week;

• In-Patient Care;

• Dental Services: full routine care for children, and emergency care for adults;

• Emergency Care;

• Well-Child Services through HealthCheck;

• Health Care for pregnant women;

• Birth Control and Family Planning Services;

• Lab and X-Ray Services;

• Prescription Drugs;

What services does DC Healthy Families cover?

• Home Health Care (including Durable Medical Supplies and Equipment);

• Vision Care; and

• Transportation for appointments.

Where do I enroll for DC Healthy Families?

DC Healthy Families Enrollment Office

6856 Eastern Avenue, NW

Suite 206

Washington, DC 20012

(202) 639-4030

You can fill out an application at any of the places listed. After you submit your application, it takes about 30/45 days for you to hear whether you have been approved for enrollment. If you are, you will receive a letter and membership card. Once you are enrolled in DC Healthy Families, you must fill out a form every 12 months to prove that you are still eligible to receive benefits.

|Other locations for enrollment: |

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|H Street Service Center |

|645 H Street, NE |

|Washington, DC 20002 |

|Telephone: 202-698-4350 |

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|Congress Heights Service Center |

|4001 South Capitol Street, SW |

|Washington, DC 20032 |

|Telephone: 202-645-4546 |

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|Anacostia Service Center |

|2100 Martin Luther King, Jr., Avenue, SE |

|Washington, DC 20020 |

|Telephones: 202-645-4614 |

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|Fort Davis Service Center |

|3851 Alabama Avenue, SE |

|Washington, DC 20020 |

|Telephone: 202-645-4500 |

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|Taylor Street Service Center |

|1207 Taylor Street, NW |

|Washington, DC 20011 |

|Telephone: 202-576-8000 |

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