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Department of Health Care Finance - DHCF.
The District of Columbia offers Alliance and Medicaid Managed Care Plans: AmeriHealth Caritas District of Columbia, Health Services for Children with Special Needs (HSCSN), MedStar Family Choice District of Columbia, and Care First Community Health Plan District of Columbia.
DC Medicaid provides a comprehensive dental benefit for children and adults. Adult services are provided through our Fee-For-Service program and two cleanings per year are covered as well as all amalgams or restorative fillings.
Medicaid covers many services, including doctor visits, hospital care, prescription drugs, mental health services, transportation and many other services at little or no cost to the individual. Currently, one out of every three District residents receives quality health care coverage through the Medicaid program.
Agency Details Website: Centers for Medicare and Medicaid Services (CMS) Contact: Contact the Centers for Medicare and Medicaid Services (CMS) Local Offices: Contact State Medicaid Offices. Toll Free: 1-800-633-4227. TTY: 1-877-486-2048. Forms: Centers for Medicare and Medicaid Services Forms.
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Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.
If you are eligible for Medicaid, Medicaid may pay for certain covered out-of-pocket medical expenses. If you need help applying for or renewing Medicaid, or if you have questions about these benefits, please call District Direct at (202) 727-5355.
Federal Poverty Level thresholds to qualify for Medicaid For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight. To calculate for larger households, you need to add $4,720 for each additional person in families with nine or more members.
Who is eligible for District of Columbia Medicaid? Household Size*Maximum Income Level (Per Year)1$18,0752$24,3533$30,6304$36,9084 more rows
To be eligible for District of Columbia Medicaid, you must be a resident of the District of Columbia, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

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