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District of Columbia, Department of Health Care Finance

Qualis Health provides a broad range of services for 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 for DC Medicaid

  • 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.

March 19, 2020: COVID-19 and Business Continuity
During the current COVID-19 emergency, Comagine Health is fully staffed and business operations are not interrupted.

For utilization review, case management and related activities, we are continuing to process requests and answer calls via our toll-free numbers during standard business hours. We have business continuity plans in place to serve our clients, health care providers, patients and communities while also protecting our staff and minimizing the spread of the illness.

April 29, 2019: Qualis Health and HealthInsight are now Comagine Health
In 2018, Qualis Health and HealthInsight merged, combining the two organizations’ strengths, experience and operations across the U.S. This month, we are introducing our new name, Comagine Health.

For more information, please read the letter from Janet Blackwood, our DC Medicaid services director.



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Contact Qualis Health

»send an email to Comagine Health Provider Portal Help

»sign up for email alerts

Do not send patient PHI via email.

(800) 251-8890

Contact DC Medicaid

Provider Inquiry Line

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

»visit the DC Medicaid website

»more contact information