Centers for Medicare & Medicaid Services - District of Columbia

Health Plan Overview

Insurance Company	Centers for Medicare & Medicaid Services
State	District of Columbia
Website	medicaid.gov
Number of Hospitals in Network	0
Number of Plans Offered	12

Network Hospital Locations

Available Plans

CATASTROPHIC

1 plan

EPO

1 plan

HMO

1 plan

MEDICAID

2 plans

MEDICARE ADVANTAGE

1 plan

MEDICARE SUPPLEMENT

1 plan

OTHER

1 plan

PBM

1 plan

POS

1 plan

PPO

1 plan

SELF FUNDED

1 plan

Plan Details

Plan Name	Plan Type
Medicaid	MEDICAID
Medicaid Managed Care	MEDICAID
PPO	PPO
HMO	HMO
EPO	EPO
POS	POS
SELF FUNDED	SELF FUNDED
PBM	PBM
CATASTROPHIC	CATASTROPHIC
MEDICARE ADVANTAGE	MEDICARE ADVANTAGE
MEDICARE SUPLEMENT	MEDICARE SUPPLEMENT
OTHER	OTHER

Recent News

2025-02-27

A transmittal from the District of Columbia Department of Health Care Finance to DC Medicaid Managed Care Organizations outlines the procedure for reimbursing out-of-pocket expenditures for Medicaid beneficiaries enrolled in managed care. This procedure is in accordance with the Salazar Settlement Order.

State Leadership

Medicaid and Medicaid Managed Care

DC Medicaid Director

Co-host of the Medicaid Policy Academy.

Medicaid and Medicaid Managed Care

Director of the Washington, D.C., Medicaid program

Asked the U.S. Attorney's Office to investigate two health plans for excessive costs in 2009.

Medicaid and Medicaid Managed Care

State Medicaid Director for the District of Columbia

Also served as DC Medicaid's Director of Health Care Policy and Research. Currently the founder of Castle Hill Consulting, LLC. Has over 30 years of experience focused on Medicaid and Medicare, with prior roles at HHS Office for Civil Rights, Blank Rome Government Relations, American Society of Consultant Pharmacists, DC Long Term Care Ombudsman Program, Bazelon Center for Mental Health Law, and Catholic University.