Becoming a Credentialed Provider

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 855-798-4244. If you are not already a member of CAQH, please contact a Provider Relations representative.

MedStar Family Choice New Provider/Group Interest Form

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.

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 855-798-4244 or fax to 855-616-8763. 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.

Information current as of: 10/20/20