How to Join MedStar Family Choice DC
MedStar Family Choice is a member of the Council for Affordable Quality Healthcare (CAQH), and providers interested in joining the MedStar Family Choice network should complete/send the form below or contact a Provider Relations representative at 800-905-1722, option 5. If you are not already a member of CAQH, please contact a Provider Relations representative.
Please be sure to authorize MedStar Family Choice as a health plan member which will allow us to access your credentialing information through CAQH.
Providers must hold a current, valid, unrestricted license to practice in all states where the provider provides care to MFC DC Members. Providers must also have an active District of Columbia Medicaid Fee-for-Service provider number (MA ID). In addition, primary care providers treating members under the age of 21 must also be up to date on their required HealthCheck training.
Providers must submit the following necessary credentialing documents for participation in MFC District of Columbia participating provider network.
- CAQH Form
- Disclosure of Ownership Form
- Provider Roster Form (for groups or practices with 10 practitioners or more)
Providers who apply to MedStar Family Choice District of Columbia have the right, upon request, to review their credentialing application, correct inaccurate information and obtain the status of their application during the credentialing process. Requests can be made by calling 800-905-1722, option 5 or fax to 855-600-3077. The credentialing process will be completed within 120 days from the date MedStar Family Choice District of Columbia notifies the Provider of MedStar Family Choice’s intent to process the application.
Providers must be recredentialed at least every three (3) years. If you are an EPSDT provider, your HealthCheck training requirements must be current.
This program is funded in part by the Government of the District of Columbia Department of Health Care Finance.