District of Columbia MedicaidUpdated April 9, 2021 Medicaid
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|
|Phone||(202) 906-8319 (inside DC metro area)|
(866) 752-9233 (outside DC metro area)
|Appeal a Denial||https://dhcf.dc.gov/page/fair-hearing|
|Find a Local Office||DC Healthcare Alliance Locations|
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:*
- Be responsible for a child 18 years of age or younger
- 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)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Doctor visits||Family planning 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|
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.