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District of Columbia, Department of Health Care Finance

Comagine Health provides a broad range of services for the District of Columbia, Department of Health Care Finance (D.C. Medicaid).

Our regional office in the District is staffed by people who live in and around the District and whose work helps improve and advance the efficiency, economy, effectiveness and quality of health care services provided to enrolled District of Columbia Medicaid beneficiaries.

Services We Provide for D.C. Medicaid

  • Utilization management
    • - Prior authorization review
    • - Pre-admission review
    • - Direct acute inpatient admission review
    • - Continued stay review
    • - Retrospective review
    • - Long-term care review
  • Child and Adolescent Supplemental Security Income Program (CASSIP) review
  • Substance use disorder/residential treatment facilities review

Announcements

Please check this page regularly for updates regarding ongoing provider training and resources.

March 19, 2020

During the current COVID-19 emergency, Comagine Health is fully staffed and business operations are not interrupted.

For utilization review, case management and related activities, we are continuing to process requests and answer calls via our toll-free numbers during standard business hours. We have business continuity plans in place to serve our clients, health care providers, patients and communities while also protecting our staff and minimizing the spread of the illness.