Medicaid

How to Get Credentialed with DC Medicaid in District Of Columbia

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

District Of Columbia-Specific Requirements

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.

Medicaid Information — District Of Columbia

Agency: DC Department of Health Care Finance

Program: DC Medicaid

Portal: https://dhcf.dc.gov/page/providers

Phone: 1-202-442-5988

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for District Of Columbia.

2

Prepare Your Application

Complete DC Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to DC Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

DC Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-202-442-5988

General Provider Inquiries

National

1-202-442-5988

Quick Links

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