Publications
Form used to notify Medicaid/Medical Assistance customers of their rights pertaining to the release of...
Form used to determine the appropriate procedure for processing a Medicaid recertification form that...
Application for Health Insurance
Summary of the DC Healthcare Alliance Transition - En Espanol
Form used to notify Medicaid/Medical Assistance customers of their rights pertaining to the release of...
Form that notifies applicants of their rights. Original to applicant, copy in record.
Solicitud de Seguro de Salud
Document to advise when child(ren) becomes District ward(s)s. Accordingly, they have been coded out of a former AR/AX Medicaid cases. They have NOT been coded out of their former TANF and Food...
Authorization for Release of Information
The local resource listing for the homeless contains information on basic services, hotline numbers, addresses, phone numbers, and examples of resources to those in need of shelter or other social...
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