Information for providers
Make Provider Changes
Learn how to submit provider changes via MedStar Family Choice Provider Web Portal.
Provider Resources
View important news, alerts, newsletters, provider manual, and more for providers.
Claims, Appeals, and Grievances
MedStar Family Choice-DC has a variety of forms and information related to the Claims, Appeals, and Grievance process.
Pharmacy and Formulary Information
Learn about the approved medications available for our physicians to prescribe.
Preauthorization and Utilization Management
Reviewers and physician advisors are available to discuss any and all utilization management decisions, questions or issues.
Additional information
Learn about the DC Healthy Families and DC Healthcare Alliance programs and requirements of providers participating in MedStar Family Choice-DC.
Primary care providers must use the Uniform Consultation Referral Form when referring MedStar Family Choice-DC enrollees to Specialists.
MedStar Family Choice-DC strives to ensure that its enrollees receive high quality health care services. To achieve its quality improvement goals, MedStar Family Choice-DC participates in a variety of Quality Monitoring programs.
Information current as of: