Annual Reports
- FY19 - Annual Report [PDF]
- FY18 - Annual Report [PDF]
- FY17 - Annual Report [PDF]
Summary of Cases
- FY22 - Summary of Cases [PDF]
- FY21 - Summary of Cases [PDF]
- FY20 - Summary of Cases [PDF]
- FY19 - Summary of Cases [PDF]
- FY18 - Summary of Cases [PDF]
- FY17 - Summary of Cases [PDF]
Brochures
- Appealing Health Insurance Decisions - English [PDF]
- Appealing Health Insurance Decisions - Spanish [PDF]
- Applying for Social Security Benefits for Infants Born with Low Birth Weight [PDF]
- Choosing a Health Insurance Plan [PDF]
- Health Care on Tap - English [PDF]
- Health Care on Tap - Spanish [PDF]
- Health Care Ombudsman Brochure - English [PDF]
- Health Care Ombudsman Brochure - Spanish [PDF]
- Your Health Care Advocate - Amharic [PDF]
- Your Health Care Advocate - Chinese [PDF]
- Your Health Care Advocate - English [PDF]
- Your Health Care Advocate - French [PDF]
- Your Health Care Advocate - Spanish [PDF]
- Your Health Care Advocate - Vietnamese [PDF]
News Articles
- Need Help Getting Your Insurer's Approval? Washington Business Journal
Fact Sheets
- DC Healthy Families [DOC]
- EPD Waiver Program Packet [PDF]
-
EPD Waiver Program FAQs [PDF]
- Health Services for Children with Special Needs, Inc. (HSCSN) [DOC]
- Home and Community-Based Services Waiver for Individuals with Intellectual and Developmental Disabilities (II/DD) [DOC]
- Know Your Rights [DOC]
- TEFRA/Katie Beckett Fact Sheet [PDF]
- TEFRA/Katie Beckett FAQs [PDF]
Forms
- Authorization for Use and Disclosure of Private/Protected Health Information [PDF]
- Authorized Representative Form [PDF]
- Authorized Representative Form - Spanish [PDF]
- Citizenship Supplemental Form [PDF]
- Conflict of Interest Statement [DOC]
- DC Standard Application for Health Coverage & Help Paying Costs [PDF]
- DC Standard Paper Application - Spanish [PDF]
- DC Unassisted Application [PDF]
- Employer Coverage Tool [PDF]
- Employer Coverage Tool - Spanish [PDF]
- Immigration Status List [PDF]
- Immigration Status List - Spanish [PDF]
- Insurer's Annual Reporting Form [DOC]
- Medicaid Renewal Form M1
- Out-of-Pocket Reimbursement Form [PDF]
- Out-of-Pocket Reimbursement Form - Spanish [PDF]
- Qualified Medicare Beneficiary (QMB) Program Application - Amharic [PDF]
- Qualified Medicare Beneficiary (QMB) Program Application - English [PDF]
- Qualified Medicare Beneficiary (QMB) Program Application - Spanish [PDF]
- Retroactive Medicaid Application [PDF]
- Supplemental Questions for Medical Assistance [PDF]