Washington, D.C. Medicaid Resources

• District of Columbia Medicaid Website
• The District also has other programs for people without health insurance, including Medicaid, such as the DC Healthcare Alliance
• DC Council on Developmental Disabilities Website
• The Arc of Washington, DC

Washington, D.C. Medicaid Facts: From Kaiser Family Foundation Medicaid Fact Sheet (2009)

There are 33,200 people with disabilities using Medicaid in Washington, D.C. The district spent $19,289 on each Medicaid recipient with a disability in 2007.

20% of the people in the district who are covered by Medicaid have a disability, which is higher than the national percentage of 15%.

Health Services for Children with Special Needs

This program covers children who have disabilities or might develop disabilities, or those who have more needs than most children. This includes any children who receive SSI, and also any children whose needs meet the requirements for SSI whether or not they already receive payments. This program does not pay for services for children who reside in nursing facilities or intermediate care facilities, and it does not cover people participating in an HCBS waiver program.

• Health: dental, durable medical equipment, early and periodic screening, diagnosis, and treatment, family planning, hearing, hospice, hospital services, immunization, mental health, substance abuse treatment, laboratory, pharmacy, physician, skilled nursing facility, emergency transportation, vision, x-ray
• Home: home health care
• Social Services: case management

Non-Emergency Transportation Program

This program can help pay for transportation to and from routine, scheduled doctor’s appointments and related medical errands. Some people who are also eligible for Medicare will not be covered.

• Community: transportation (medical)

Developmental Disabilities (MR/DD) waiver

Adults with disabilities may be covered under this waiver if they require an intermediate care facility level of care but wish to receive services in the community instead of in an institution.

Level of Care: Intermediate

• Health: skilled nursing, therapies
• Home: homemaker services, chore services, respite care, personal care

Elderly and Disabled waiver

This waiver is similar to the developmental disabilities waiver, except that adults with physical disabilities (18 and older) or older adults without disabilities to need a higher level of care to qualify.

Ages: 18 and older (physical disabilities) or 65 and older (people with and without disabilities)

Level of Care: nursing

• Health: personal emergency response systems
• Home: personal care, respite care, homemaker services