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 HealthCheck
Program Summaries: Recipient Support Services
Durable
Medical Equipment (DME)
The MAA Durable Medical Equipment Program provides for medically
justified supplies and equipment for eligible children and adolescents
in the home environment. This service includes a range of supplies
and equipment from gauze pads to wheelchairs. For information on
DME guidelines, see Sections 5.1-5.1.2 of the downloadable HealthCheck
Manual.
To request a Prior Approval Form (Form 719A) for DMEs, call (202)
783-6510.
Case
Management (Care Coordination)
Medically Necessary Case Management is a HealthCheck service
for children under age 21 who require assistance with identification,
implementation, and coordination of a variety of medically necessary
services but do not qualify for DC's Supplemental Security Income
(SSI) children’s program / HCSN, Inc.
Transportation
and Scheduling Assistance
Transportation
services include bus tokens, Metro fare cards, taxi transportation
vouchers, van services, and non-emergency ambulance services. HealthCheck
is required to provide scheduling and transportation assistance
to members.
The Reference and Contacts
Resource List contains important phone numbers related to transportation
issues.
Eligibility
Support: Helpline
The DC Managed Care Helpline is available to Medicaid Managed Care
members who are seeking to select an HMO as their health plan.
To access this system, clients must call (202) 639-4030 (Spanish
& English).
Enrollment
Broker
DC's enrollment broker is a contracted vendor hired by MAA to objectively
enroll MMC-eligible members into an MCO.
The telephone number for the current enrollment broker is (202)
639-4030.
Program
to Reimburse for Out-of-Pocket Expenses
DC Medicaid clients who paid for drug prescriptions, doctor visits,
or hospitalizations that should have been paid by Medicaid are entitled
to reimbursement. Clients must submit a request no later than six
months after the expense was incurred.
Questions can be answered by DC MAA, Program Operations at (202)
698-2000.
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