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Medicaid / Washington D.C.

Medicaid for Home Care in Washington D.C.

Medicaid Certified Home Care Agency in Washington D.C.

Home care agencies need to be certified as HHA (Home Health Agency) for claiming Medicaid reimbursement in Washington. The reimbursement process eventually relies on the compliance of the agency, along with licensing and certification. Specific details about individual state requirements are provided by the state’s Department of Human Services.

Governing Body: Department of Health Care Finance (DHCF)

Overview:

One of the most generous programs in the U.S., Medicaid in Washington D.C provides health coverage to low-income individuals of all ages including pregnant women, parents and caretaker relatives, adults with no dependent children, disabled people, and seniors with household incomes up to 210% of the FPL.

Medicaid Programs:

  • Adult Day Health Care & Personal Care
  • Elderly and Persons with Disabilities Medicaid Waiver
  • Services My Way
  • Spend Down
  • Emergency Medicaid

Income Requirements:

  • For adults without dependents, income up to $2,124.50 per month
  • For seniors, blind or disabled people, income up to 100% of the FPL ($1,011.67 per month) having resources below $4,000 for a family of one
  • For pregnant women, income up to 319% of the FPL ($3,205.95 per month) for a family of one
  • For parents/caretakers, income up to 216% of the FPL ($2,185.20 per month) for a family of one

Application Process:

One can apply for the available Medicaid programs in Washington D.C. by visiting DC Health Link.

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Medicaid FAQs

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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