Important Numbers
For questions about your MCO
Enrollee Services:
1‑202‑842‑2810 or 1‑866‑842‑2810
TTY/TDD: 1‑202‑216‑9885 or 1‑800‑570‑1190
Hours: 24 hours a day; seven days a week
If you need care after your doctor's office closes or you have a question you need to ask a nurse
Nurse Call Line: 1-877-759-6279
TTY/TDD: 1-202-216-9885 or 1-800-570-1190
Hours: 24 hours a day; seven days a week
If you need behavioral health care or have a behavioral health question
Your PCP's office
Nurse Call Line: 1-877-759-6279
DC Department of Behavioral Health Hotline: 1-888-793-4357
Hours: 24 hours a day; seven days a week
If you need to see a doctor within 24 hours (Urgent Care)
Your PCP's office
Nurse Call Line: 1-877-759-6279
Hours: 24 hours a day; seven days a week
If you are out of town and need a prescription filled
Pharmacy Enrollee Services: 1-888-452-3647
TTY/TDD: 1-888-989-0073
Hours: 24 hours a day; seven days a week
To contact the Enrollee Wellness Center
Enrollee Wellness Center: 1-202-408-3989
Hours: Monday - Friday: 9 a.m. - 5 p.m.
For dental questions
Enrollee Services:
1-202-842-2810 or 1-866-842-2810
TTY/TDD: 1-202-216-9885 or 1-800-570-1190
Hours: 24 hours a day; seven days a week
For vision questions
Enrollee Services:
1-202-842-2810 or 1-866-842-2810
TTY/TDD: 1-202-216-9885 or 1-800-570-1190
Hours: 24 hours a day; seven days a week
If you need someone who speaks your language or if you are hearing impaired
Enrollee Services:
1-202-842-2810 or 1-866-842-2810
TTY/TDD: 1-202-216-9885 or 1-800-570-1190
Hours: 24 hours a day; seven days a week
To confirm eligibility or to change your MCO
DC Healthy Families: 1-202-639-4030
Hours:
Monday, Tuesday, Thursday, Friday: 8 a.m. - 7 p.m.
Wednesday: 8 a.m. - 9 p.m.
To report fraud
D.C. Department of Health Care Finance Fraud Hotline: 1-877-632-2873
Hours: Monday - Friday: 8:00 a.m. - 4:30 p.m.
To report fraud
AmeriHealth Caritas District of Columbia's Compliance Hotline: 1-800-575-0417
Hours: 24 hours a day; seven days a week
To speak with a case manager
Rapid Response: 1-877-759-6224
Hours: 24 hours a day; seven days a week
If you are pregnant and need to check for Medicaid eligibility
Economic Security Administration: 1-202-727-5355 or 1-877-759-6883
Call center hours: 8:15 a.m. - 4:45 p.m.
Customer service hours:
Monday, Tuesday, Thursday, Friday: 8:15 a.m. - 4:45 p.m.
Wednesday: 8:15 a.m. - 8:00 p.m.
To determine eligibility for TANF, Medical Assistance, SNAP, child care subsidy, burial assistance, interim disability assistance, PASS or refugee cash
Economic Security Administration (ESA):
1-202-671-4200 or http://dhs.dc.gov/page/economic-security
If you need to speak with someone who can assist and advise you on receiving health care from your managed care organization (MCO)
The Ombudsman Program
One Judiciary Square
441 4th Street N.W., 900 South
Washington, DC 20001
Phone: 1-202-724-7491 (TTY 711) or 1-877-685-6391
Fax: 1-202-535-1216
Email: healthcareombudsman@dc.gov
Phone hours:
Monday - Friday: 8 a.m. - 6 p.m.
Walk-in hours:
Monday - Friday: 8:15 a.m. - 4:45 p.m.
Additional information related to a prior authorization request or appeal
AmeriHealth Caritas District of Columbia's Compliance Hotline: 1-800-575-0417
Hours: 24 hours a day; seven days a week
To report fraud
Enrollee Services:
1-202-842-2810 or 1-866-842-2810
TTY/TDD: 1-202-216-9885 or 1-800-570-1190
Hours: 24 hours a day; seven days a week