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  • Pca Services Order Form - Dhcf - Dhcf Dc

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DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH CARE FINANCE PRESCRIPTION FORM FOR MEDICAID PERSONAL CARE AIDE SERVICES 11114116kig Physician / Nurse Practitioner (NP) is to complete shaded sections and.

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Contact support

you can enroll in PCA, contact the Aging and Disability Resource Center (ADRC) at 202-724-5626 or via email at Ask.ADRC@dc.gov. You may also call the Department of Health Care Finance (DHCF) Long Term Care Administration at 202-442-5988.

1-202-408-4720 or toll-free at 1-800-408-7511. Do more online. Lost your ID card? Log on to the Enrollee Portal to order a new one.

The District of Columbia offers Alliance and Medicaid Managed Care Plans: AmeriHealth Caritas District of Columbia, Health Services for Children with Special Needs (HSCSN), MedStar Family Choice District of Columbia, and Care First Community Health Plan District of Columbia.

You may call the SSA at 1-800-772-1213.

DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people....Where do I apply for Medicaid? Service CenterTaylor StreetAddress1207 Taylor Street, NWPhone(202) 576-8000Fax(202) 576-87404 more columns

In order to continue to receive Medicaid coverage, Individuals and families must renew their Medicaid coverage once a year.

DC Medicaid provides a comprehensive dental benefit for children and adults. Adult services are provided through our Fee-For-Service program and two cleanings per year are covered as well as all amalgams or restorative fillings.

ESA will send a renewal form to your address 90 days before your certification period ends. Once you receive the form, fill it in completely and send it back to ESA. You may be asked to provide proof of your income, residency, or resources with the form.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232