Provider Resources

MedStar Family Choice-DC  Provider Manual

The MedStar Family Choice-DC Provider Manual provides information on the DC Healthy Families and DC Healthcare Alliance programs, the requirements of an MCO, and the requirements of providers participating in MedStar Family Choice-DC.

Quick Reference Guide

For MedStar Family Choice-DC contact numbers and information about pre-authorizations.

Provider Education Orientation Slides

New providers can find a variety of details about MedStar Family Choice-DC in this training as well as department contact information.

Electronic Funds Transfer (EFT) / Electronic Remittance Advice (ERA)

Learn how to receive electronic claims payments faster and request ERAs.

Office Laboratory/Pathology Procedure Codes

MedStar Family Choice-DC requires laboratory/pathology procedures to be provided by MedStar Family Choice-DC participating lab(s). The document linked above lists the procedure codes for labs that can be performed in an office setting.

Cultural Diversity Training

To satisfy your cultural diversity training requirements, please take the Embracing a SPIRIT of Diversity training via MedStar Health SiTEL. Click the heading above for the How to Enroll in an OnDemand Course on SiTEL instructions. If you do not have internet access, you can contact MedStar Family Choice-DC Provider Relations at 855-798-4244 to request cultural diversity training.

Provider Access and Availability Requirements

Learn your requirements regarding member appointments and timeframes, and coverage for after hours.

CLAS Standards Toolkit

View the guide to implementing the National CLAS Standards.

Clinical Practice Guidelines

A listing of clinical practice guidelines for a variety of conditions.

DC IVR-EVS Brochure

D.C. False Claims Act

Information current as of: 12/03/21