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DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH CARE FINANCEPRESCRIPTION ORDER FORM (POF) FOR LONG TERM CARE SERVICES AND SUPPORTS This completed form must be faxed to Liberty Healthcare Corporation at.
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Expedited FAQ
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By Phone: Call the Department of Human Services Economic Security Administration Public Benefits Call Center at (202) 727-5355.
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DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people. For those eligible for full Medicaid services, Medicaid pays healthcare providers.
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District of Columbia Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows
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If you have questions, contact Provider Inquiry at (202) 906-8319 (inside DC metro area) or (866) 752-9233 (outside DC metro area) or via email at providerinquiry@conduent.com.
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Department of Health Care Finance - Provider Enrollment Required Documentation. For assistance, contact the Maximus Provider Screening and Enrollment Customer Service Center at 844-218-9700 Monday through Friday (8:00 am – 5:00 pm).
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