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District of Columbia Medicaid

The DC Medicaid program furnishes medical assistance to eligible District of Columbia low-income families and eligible individuals.

The DC Medicaid program furnishes medical assistance to eligible District of Columbia low-income families and to eligible aged, blind, and/or disabled people whose income is insufficient to meet the cost of necessary medical services.

Program Name DC Medicaid
Expanded Medicaid Yes
Website https://www.dc-medicaid.com/
Phone (202) 906-8319 (inside DC metro area)
(866) 752-9233 (outside DC metro area)
Apply Online dchealthlink.com
Appeal a Denial https://dhcf.dc.gov/page/fair-hearing
Find a Local Office DC Healthcare Alliance Locations

Eligibility Requirements

To be eligible for District of Columbia Medicaid, you must be a resident of Washington, D.C., 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.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Doctor visits Family planning services
Hospitalization Hospice services
Eye care Laboratory services
Ambulatory surgical center Radiology
Medically necessary transportation Medical supplies
Dental services Mental health services
Dialysis services Physician services
Durable medical equipment Nurse practitioner services
Emergency ambulance services Organ transplants

Copayments

There are no copays for beneficiaries enrolled in Medicaid Managed Care. For individuals enrolled in FFS Medicaid, there may be a $1.00 copay for prescriptions and a $2.00 copay for eyeglasses.

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