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District of Columbia, Department of Health Care Finance

Qualis Health provides a broad range of services to the District of Columbia, Department of Health Care Finance (DC Medicaid). Our regional office in the District is staffed by people who live in and around the District and whose work helps improve and advance the efficiency, economy, effectiveness and quality of healthcare services provided to enrolled District of Columbia Medicaid clients.

Services We Provide to the District of Columbia

  • Utilization management
    • Prior authorization review
    • Pre-admission review
    • Emergency admission review
    • Continued stay review
    • Retrospective review
    • Long term care review


Please check this page regularly for updates regarding ongoing provider training and resources.

Join Us in March for an Inpatient Hospice Webinar
February 24, 2017: Please join us for one of three Inpatient Hospice webinars we’ll be holding in March. During these sessions, we will discuss:

  • District inpatient hospice requirements
  • Submitting reviews to Qualis Health

Visit the Provider Education page for dates, times and instructions.

New and Updated Qualis Health Provider Portal Materials Available
September 15, 2016: We have made some changes to the Qualis Health Provider Portal User Guide, as well as added an Administrator Guide. The training videos have been revised and expanded to include:

You can find all of these materials on the Provider Resources page.

September 9, 2016: Provider ID Changes Effective Next Week
We are modifying Provider IDs in the Qualis Health Provider Portal for those who registered prior to October 2014. We will call you on Monday, September 12 to give you your new Provider ID. Begin using the new Provider ID on Tuesday, September 13. Please read the Notice of Software Changes for complete information.



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Contact Qualis Health

»send an email to Qualis Health Provider Portal Help

»sign up for email alerts

Do not send patient PHI via email.

Contact DC Medicaid

Provider Inquiry Line

(202) 906-8319
(866) 752-9231

»visit the DC Medicaid website

»more contact information