DC Medicaid
Credentialing and enrollment guides for DC Medicaid across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About DC Medicaid
DC Department of Health Care Finance — DC Medicaid
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete DC Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to DC Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with DC Medicaid?
Our specialists handle the entire DC Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
DC Medicaid Provider Enrollment
Contact Information
Provider Credentialing
1-202-442-5988
Mon-Fri 8am-5pm
Provider Services
1-202-442-5988
Claims & Billing
1-202-442-5988
Quick Links
Available States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for DC Medicaid-specific credentialing details including timelines, contacts, and local requirements.
DC Medicaid credentialing requirements by state
DC Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state DC Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| District Of Columbia | Open | 30–60 days | District of Columbia Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the DC Department of Health Care Finance (DHCF) provider enrollment portal. (3) Submit application with DC license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. DC Medicaid operates managed care through 3 MCOs that administer benefits for most enrollees. Behavioral health providers accepted include LPC, LICSW, and Licensed Psychologist with active DC licensure. Revalidation is required every 5 years. Providers must enroll with DC Medicaid and separately credential with participating MCOs. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about DC Medicaid credentialing
How long does DC Medicaid credentialing take?
DC Medicaid credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does DC Medicaid require CAQH?
No. DC Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on DC Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does DC Medicaid operate in?
DC Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.