Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in District of Columbia?
Last verified October 17, 2026 · All District of Columbia resources
District of Columbia pays for Medicaid home care fee-for-service. The District pays EPD Waiver services fee-for-service, so home care agencies enroll directly as providers with DC Medicaid (DHCF). Case management agencies coordinate EPD Waiver services, and the Services My Way option lets participants self-direct some services.
For the programs that pay for home care, see District of Columbia Medicaid waivers.
What should you confirm with the state?
Confirm how personal care is billed for clients who are enrolled in a DC Medicaid managed care plan or an integrated D-SNP.
Sources
More for District of Columbia
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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