Publications
Authorization for Release of Information
Form used to notify Medicaid/Medical Assistance customers of their rights pertaining to the release of protected health information and other personal data.
Form used to determine the appropriate procedure for processing a Medicaid recertification form that is returned by the customer.
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 services.
DC HealthCare Alliance (Alliance) is ONLY for people who live in Washington, DC. If you are applying for medical assistance through the DC HealthCare Alliance, you must show that you are a DC resident.
You can show that you live in DC with:
If you are using the Proof of Residency Form, these frequentlly asked questions may help you.
Focused Improvement Area (FIA) - Congress Heights
Si usted vive en D.C., puede usar este formulario para solicitar beneficios. Si necesita ayuda con este formulario, pídale ayuda a sutrabajador u otro empleado de IMA.
También puede llamar al (202) 724-5506.
Focused Improvement Area (FIA) - Kennedy Street
Focused Improvement Area (FIA) - Washington Highlands
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