All DC residents with Medicaid must renew their coverage this year.
Please help Enrollees receive important renewal information by reminding them to update their contact information with the Department of Health Care Finance (DHCF) at districtdirect.dc.gov.
A listing of behavioral health resources.
View the guide to implementing the National CLAS Standards.
A listing of clinical practice guidelines for a variety of conditions.
Department of Healthcare Finance (DHCF) approved information provided to enrollees.
Information sheet that includes: why you should become a COVID-19 vaccine provider, how to get enrolled and FAQs.
To satisfy your cultural diversity training requirements, please take the Embracing a SPIRIT of Diversity training via MedStar Health SiTEL. Click the heading above for the How to Enroll in an OnDemand Course on SiTEL instructions. If you do not have internet access, you can contact MFC-DC Provider Relations at 855-798-4244 to request cultural diversity training.
MedStar Family Choice District of Columbia (MFC-DC) wants to support providers in their role as caregiver to Enrollees. To that end, the MedStar Provider Assistance Program allows you to securely notify us whenever you need support to engage an Enrollee. Support could be things such as transportation, compliance with appointment scheduling, and information concerning care gaps. The MedStar Provider Assistance Program also provides an opportunity for you to refer Enrollees who may also need care management support or assistance with some Social Determinant of Health (SDOH).
To refer an Enrollee, please complete the MedStar Provider Assistance Referral Form.
MFC-DC requires laboratory/pathology procedures to be provided by MFC-DC participating lab(s). The document linked above lists the procedure codes for labs that can be performed in an office setting.
Learn your requirements regarding member appointments and timeframes, and coverage for after hours.
New providers can find a variety of details about MFC-DC in this training as well as department contact information.
The MFC-DC Provider Manual provides information on the DC Healthy Families and DC Healthcare Alliance programs, the requirements of an MCO, and the requirements of providers participating in MFC-DC.
Provider alerts and newsletters include important information for all MFC-DC providers.
Learn about MFC-DC departments and programs that works with and assists providers.
To achieve its quality improvement goals, MFC-DC participates in a variety of Quality Monitoring programs.
For MFC-DC contact numbers and information about pre-authorizations.
Shared Decision Making Tools are available to encourage conversations between our Enrollees and clinicians to facilitate treatment choices. The Mayo Clinic offers online, interactive Shared Decision Making Tools with graphics and comparative choices. These tools cover a wide variety of options such as Anticoagulation Choice, Chest Pain Choice, Diabetes Medication Choice and many others.
Information current as of: