Amerihealth Dc Medicaid Phone Number

How To Apply For Medicaid Alliance Dc Healthy Families Or Retro Medicaid

There are now four ways to apply for Medical Assistance

• Online : Use the District Direct Online Portal

• Mobile App: Use the District Direct Mobile Application. The app is available for iPhone on Apple App Store or for Android Devices at the

• and apply over the phone
• Paper Application

Mail your signed application to:Department of Human Services | Economic Security AdministrationP.O. Box 91560

The Marketplace In Your State

No matter what state you live in, you can enroll in affordable, quality health coverage.

Kentucky: For 2022 coverage, use Kynect to enroll

Starting October 1, 2021, Kentucky residents will no longer enroll in coverage through HealthCare.gov. Instead, theyll use Kynect.ky.gov. Enroll for 2022 as soon as November 1, 2021.

Continue using HealthCare.gov for 2021 coverage information.

Maine: For 2022 coverage, use CoverME to enroll

Starting October 1, 2021, Maine residents will no longer enroll in coverage through HealthCare.gov. Instead, theyll use CoverMe.gov. Enroll for 2022 as soon as November 1, 2021.

Continue using HealthCare.gov for 2021 coverage information.

New Mexico: For 2022 coverage, use beWellnm to enroll

Starting October 1, 2021, New Mexico residents will no longer enroll in coverage through HealthCare.gov. Instead, theyll use beWellnm.com. Enroll for 2022 as soon as November 1, 2021.

Continue using HealthCare.gov for 2021 coverage information.

How Do I Participate

If you are one of the enrollees randomly chosen to participate this year, you will receive the survey in the mail from SPH Analytics. You can complete the survey by mail or over the phone. Your answers may be in English or Spanish and are anonymous.

Please call SPH Analytics at 1-888-797-3605 if you have any questions.

Did you know you can help make your health benefits, programs, and services even better? Get hand-picked for AmeriHealth Caritas District of Columbias Youth Wellness Advisory Council or Member Wellness Advisory Council and make an impact in your community! Learn more.

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Department Of Health Care Finance

Office HoursConnect With UsHow to Apply for MAGI- Medicaid?

• Call the DC Health Link Customer Service at 1-855-532-5465

Download an application from DCHealthlink.com

Mail your original, signed application to:

• In Person: You may apply at any of the ESA Service Centers listed below:

1-855-532-5465How to Apply for Non-MAGI- Medicaid?

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When To Contact Your State Medicaid Agency

In order to assist you in getting a timely response, please contact your State Medicaid Agency for any questions on the following:

If you need assistance in any of the areas noted, you will need to contact the agency for Medicaid/CHIP in your state of residence or the state you have questions about in order to receive assistance. Please contact your state for all state-related Medicaid questions.

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Generous Medicaid Program Contribute To Low Uninsured Rate

As of 2015, the Kaiser Family Foundation estimated that there were still 42,000 uninsured residents in DC, and 48% of them were eligible for Medicaid. That said, the Districts uninsured rate is among the lowest in the nation, at 3.5% in 2019. Only Massachusetts had a lower uninsured rate at that point. DCs uninsured rate is down from 6.7% in 2013, and from more than 18% in the late 1990s. The drop in the uninsured rate is due in large part to the Districts efforts to implement the DC Healthcare Alliance, expand Medicaid and integrate the two programs.

The COVID pandemic resulted in job losses and sharp increases in the uninsured rate across the U.S. as a whole. The District of Columbias uninsured rate was 6% as of May 2020. This was the lowest rate in the nation at that point, and a testament to the Districts commitment to providing health coverage for people with limited income. This included the fact that the normal enrollment and recertification process for DC Healthcare Alliance were relaxed during the COVID pandemic.

Services That Do Not Require Authorization Notification Or Referral

• Emergency room services, in network and out of network
• 48-hour observations, except for maternity, which requires notification
• Low-level plain films, such as X-rays and electrocardiograms
• Family planning services
• Post-stabilization services, in network and out of network
• Early and periodic screening, diagnostic, and treatment services
• In-network obstetric and gynecological services
• Emergency services, excluding AmeriHealth Caritas DC Alliance enrollees, who are covered by DC Medicaid FFS
• Womens health specialist services
• Diagnosis and treatment of sexually transmitted diseases and other communicable diseases, such as tuberculosis and HIV/AIDS, as determined by county health departments
• OB/GYN services for one annual visit and any medically necessary follow-up care for detected conditions. The enrollee must use an AmeriHealth Caritas DC provider for these services.
• Podiatry and some dermatology services. The enrollee must use an AmeriHealth Caritas DC provider for these services.
• Immunizations by county health departments and participating primary care providers
• Imaging procedures related to emergency room services, observation care, and inpatient care
• Outpatient therapy individual, family, or group after the initial 10 sessions
• Behavioral health counseling and therapy

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Is There A Medicare Advantage Phone Number

Medicare Advantage plans are offered by private insurance companies, so you may want to call your plan provider directly with any questions about your Medicare Advantage plan. For general information about Medicare coverage, you can still call 1-800-MEDICARE, even if you are enrolled in a Medicare Advantage plan.

Are you considering switching to a Medicare Advantage plan, changing your current Medicare Advantage plan or enrolling in Medicare Advantage for your first time? A licensed insurance agent can help answer any questions you have about Medicare Advantage plans and can help you compare plans that may be available in your local area.

Before You Call The Medicare Phone Number

Before calling 1-800-MEDICARE, have your Medicare card ready in case the representative needs to know your Medicare number. If you are calling with a question about a claim or a bill, have the bill or the Explanation of Benefits handy for reference.

It can also be helpful to keep a pen and paper ready to write down any important information your Medicare representative may share, such as additional phone numbers, dollar amounts, dates and more.

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American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

What Is Retro Medicaid

Medicaid for those in need of assistance paying for medical bills from the past 3 months. You and/or a household member must meet all eligibility requirements for Medicaid during the retroactive period to qualify for Retroactive Medicaid coverage.

To Decline Medicaid Health Coverage

If you and/or other members of your family have been determined to be eligible for Medicaid health coverage through DC Health Link but you choose to enroll in a private health insurance plan instead, you have the right to decline your Medicaid health insurance coverage. You must complete, sign, and return the Request to Decline Medicaid Health coverage on DC Health Link.

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You Might Qualify For Dual Eligible Plans If

• You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive Extra Help or assistance from your state.
• Youre a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
• You live in the plans service area.

Where To Apply For Health Coverage

People in most states use HealthCare.gov to apply for and enroll in health coverage.

If your state appears on the list below, you wont use HealthCare.gov. Youll use your states website to enroll in individual/family or small business health coverage, or both.

Covered California is your states Marketplace. Visit Californias website.

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What Is Dc Healthy Families

DC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC Medicaid. The DC Healthy Families program covers doctor visits, vision and dental care, prescription drugs, hospital stays, and transportation for appointments. DC Healthy Families also offers special programs for newborn babies, children with disabilities or special health care needs, and people with HIV and AIDS. To find out more about how to qualify for the DC Medicaid program

Find More Information about DC Healthy FamiliesHere

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District Of Columbia Has Accepted Federal Medicaid Expansion

• 282,901 Number of DC residents covered by Medicaid/CHIP as of July 2021
• 47,115 Increase in the number of DC residents covered by Medicaid/CHIP fall 2013 to July 2021
• 54% Reduction in the uninsured rate from 2010 to 2019
• 13% Increase in total Medicaid/CHIP enrollment in DC since Medicaid expansion took effect

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District Of Columbia Medicaid Office

Below is the contact information for the Medicaid office in District of Columbia. They can assist you with questions or concerns about the District of Columbia Medicaid program, including the eligibility requirements and Medicaid enrollment in District of Columbia. You can view their site online at http://doh.dc.gov. To find out if you are eligible for this program, District of Columbia Medicaid eligibility.

The Medicaid program in District of Columbia covers basic medical care. This may include doctor services, inpatient hospital care, laboratory and x-ray services, inpatient short-term skilled nursing or rehabilitation-facility care, outpatient hospital or clinic care, short-term home healthcare, ambulance service and prescription drugs for people not covered by Medicare. We suggest contacting the Medicaid office to find out specifically what coverage is provided as it can be different in each state.

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Other Coverage Programs Available In Dc

Under its early adopted approach to Medicaid expansion, DC moved about 34,000 people who had been enrolled in DC HealthCare Alliance a District-funded program that allows low-income residents to obtain medical and dental services at no cost from participating providers to the Medicaid program. Enrollment in DC Healthcare Alliance had reached 50,000 by 2009 most of those people became eligible for Medicaid instead once Medicaid was expanded.

So by opting to expand Medicaid early, DC was able to take advantage of federal funding to help cover a low-income population that was already being covered in a DC-based program that received no federal funding expanding Medicaid early was obviously a good financial move for DC. In addition, the benefits through DC HealthCare Alliance are more limited than Medicaid, with no funding for mental health care or medical transportation. So Medicaid provides better coverage for enrollees as well.

For immigrant children under the age of 21, the Immigrant Childrens Program in DC provides coverage for those with income up to 200% of the poverty level, regardless of assets.

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Help In Other Languages

We provide no-cost aids and services to people with disabilities, such as qualified sign language interpreters and written information in other formats .

We also provide no-cost language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact AmeriHealth Caritas North Carolina 24 hours a day, seven days a week at:

• Member Services: 1-855-375-8811

Unitedhealthcare Connected Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

You can get this document for free in other formats, such as large print, braille, or audio. Call , TTY 711, 8 a.m. 8 p.m., local time, Monday Friday . The call is free.

You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al , TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

Los servicios Language Line están disponibles para todos los proveedores dentro de la red.

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Unitedhealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

• Who is eligible?

  You might qualify for Dual Eligibility Plans if
• You are under age 65, eligible for state Medicaid benefits, and qualify on the basis of disability or other special situation.
• You are at least 65 years old and receive Extra Help or assistance from your state.

Looking for the federal governments Medicaid website? Look here at Medicaid.gov.

Find A $0 Premium Medicare Advantage Plan Today

For California residents, CA-Do Not Sell My Personal Info, .

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts enrollment in any plan depends upon contract renewal.

The purpose of this communication is the solicitation of insurance. Callers will be directed to a licensed insurance agent with TZ Insurance Solutions LLC, TruBridge, Inc. and/or a third-party partner who can provide more information about Medicare Advantage Plans offered by one or several Medicare-contracted carrier. TZ Insurance Solutions LLC, TruBridge, Inc., and the licensed sales agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE , 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.

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Will You Let Us Know

Use the Let Us Know program to partner with AmeriHealth Caritas District of Columbia to better engage with and manage the health care needs of our enrollees your patients. The program helps connect enrollees with resources, such as the Rapid Response and Outreach Team and Care Management.

Check out our provider orientation and quick reference materials for easy access to the information you need.

Get your health plan news via email. , our free email service, to receive important health plan communications from AmeriHealth Caritas DC.

Civil Rights Groups File Complaint Over Dc Medicaid Dispute

Advocates for D.C.s Medicaid recipients have filed a complaint with the U.S. Department of Health and Human Services over threatened changes to the D.C. Medicaid program.

The groups, including the D.C. branch of the NAACP and the Health Alliance Network, a community organization devoted to health equity, have written to the HHS Office for Civil Rights, complaining that the health of the citys Medicaid recipients is imperiled by MedStar Healths dispute with the District government over its Medicaid contract.

The groups pointed to an Aug. 20 letter penned by the D.C. Department of Health Care Finance to the D.C. Council Committee on Health, which said that MedStar Health intends to terminate its contracts with AmeriHealth Caritas DC and CareFirst Blue Cross Blue Shield, two Medicaid managed health care programs operating in the District.

MedStar, which operates two of the citys largest hospitals, MedStar Washington Hospital Center and MedStar Georgetown University Hospital, has been in a long-standing dispute with the D.C. government over the Medicaid managed care contract of its subsidiary, MedStar Family Choice.

The civil rights and advocacy groups speaking out against MedStars threat to end Medicaid contracts with the two insurance companies that provide Medicaid health coverage to the citys poor.

The D.C. Department of Health Care Finance said the action would threaten access to care for as many as 230,000 District residents.

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