The New Healthy DC Plan is Covering Enrolees Effective 1/1/26 January 21, 2026

Nearly 16,000 DC residents were automatically moved from DC Medicaid into a new program called Healthy DC Plan on January 1, 2026 when Medicaid eligibility changed December 31, 2025.  See below for critical information and please share this information with your facility and medical office staff who work checking patients in for appointments or confirming insurance 

DC residents losing Medicaid were automatically enrolled into a Healthy DC Plan.

DC residents with AmeriHealth Caritas and Medstar Family Choice Medicaid MCOs were automatically transitioned into a Healthy DC Plan with the same insurance company. DC residents with Wellpoint Medicaid MCO were automatically enrolled into the CareFirst BlueCross BlueShield Healthy DC Plan.

• All Healthy DC Plans mailed each enrollee a new member ID card. Even Healthy DC Plan enrollees with AmeriHealth Caritas or Medstar Family Choice have a new card with a new Healthy DC Plan ID number.  
• A Medicaid ID number CANNOT be used to confirm Healthy DC Plan enrollment.  
• The Medicaid portal CANNOT be used to confirm Healthy DC Plan enrollment.  

Where can I confirm enrollment for Healthy DC Plan? 

You can access the provider portals for the three insurance companies offering Healthy DC Plan below. If you do not have a patient’s new Healthy DC Plan ID number, you will need to call the insurance company’s provider customer service.

AmeriHealth Caritas District of Columbia Healthy DC Plan

• AmeriHealth Caritas District of Columbia Provider Portal (login required)
• Provider Customer Service: 1-888-369-0247

CareFirst BlueCross BlueShield Healthy DC Plan

• CareFirst BlueCross BlueShield Provider Portal (login required)
• Provider Customer Service: 1-833-536-2167

MedStar Family Choice Healthy DC Plan

• MedStar Family Choice Provider Portal (login required)
• Provider Customer Service: 1-800-261-3371

For more information about Healthy DC Plan, see www.HealthyDCPlan.com.