Welcome, Healthy DC Plan Providers
AmeriHealth Caritas District of Columbia offers the Healthy DC Plan to eligible enrollees
This is a federally-funded, no-cost health insurance program for residents with low incomes who are no longer eligible for Medicaid but would qualify for coverage under the Affordable Care Act through DC Health. The Healthy DC Plan covers essential health benefits such as primary and specialty care, hospitalization, and prescriptions.
Thank you for being a Healthy DC Plan provider and for your commitment to the care of our enrollees.
Important contact information for providers:
- Provider Services/Prior authorizations
8 a.m. – 5:30 p.m., Monday – Friday- Telephone: 1-888-369-0247
- Pharmacy Provider Services/Pharmacy prior authorizations
8 a.m. – 8 p.m., Monday – Friday;
9 a.m. – 1 p.m., Saturday- Telephone: 1-855-332-0992
- Standard fax: 1-844-480-2486
- Urgent fax: 1-855-350-0284
- Utilization Management
8 a.m. – 5:30 p.m., Monday – Friday- Telephone: 1-888-605-4807 or 1 -800-408-7510
- Fax: 1-877-759-6216
- Credentialing
- Telephone: 1-877-759-6186
We can help enrollees manage their health.
NaviNet provider portal
Submit referrals and claims and view enrollee eligibility and benefits.
Pharmacy prior authorization form
View the online pharmacy prior authorization form.
Will you Let Us Know?
Use the Let Us Know program to partner with AmeriHealth Caritas District of Columbia to better engage with and manage the health care needs of our enrollees — your patients. The program helps connect enrollees with resources, such as the Rapid Response and Outreach Team and Care Management.
Check out our quick reference materials for easy access to the information you need.
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