COVID-19 Vaccine and Testing Information

May 12, 2021 updates

DC residents age 18 and over can now walk-up to get their first COVID-19 vaccine shot at select District of Columbia sites. No appointment needed!  Click here for the site locations and open hours. If you are not able to leave your home, call 855-363-0333 for assistance.

Children’s National is offering COVID-19 vaccine to all DC residents ages 16 & 17 years, Click here to sign up. They will send you a text when they are ready to schedule you.

MedStar Health COVID-19 Vaccination line – District of Columbia residents can call 833-205-1553 to schedule a vaccination appointment through MedStar Health. 

Giant Food is accepting walk-ins for COVID-19 vaccinations. The vaccine is being offered to all approved ages every Monday and Thursday from 6 a.m. to 9 a.m. at all its pharmacy locations throughout Washington, D.C. Vaccinations are available for individuals receiving either their first or second dose. Customers can still set up an appointment at any of Giant's pharmacy locations by going to giantfood.com/covid-info. A list of vaccines offered at each location is available at giantfood.com/covid-info. Vaccines are provided at no cost, though residents are asked to bring their health insurance card and driver's license to their appointment.

Testimonials from seniors on why they chose to get vaccinated. Dr. Lisa Fitzpatrick, partnered with the DC Housing Authority, DC Health, Sibley Memorial Hospital and Johns Hopkins Medicine to host COVID-19 vaccine clinics for seniors.

Vaccine Distribution and Eligibility

DC has implemented its vaccination distribution plan and MedStar Family Choice-DC (MFC-DC) will follow this plan and the guidance of the District government leading this effort. For the latest information from the District of Columbia visit Coronavirus.DC.gov or call 855-363-0333.

Vaccine safety

COVID-19 vaccines are a positive turning point in this public health crisis that has impacted us all. The U.S. vaccine safety system ensures that all vaccines are as safe as possible. Safety is a top priority while federal partners work to make COVID-19 vaccines available. To learn more visit CDC.gov/Coronavirus/Vaccines.

Transportation to COVID-19 vaccination appointments

MFC-DC will provide enrollee transportation to and from vaccination appointments at no cost to you. This is a covered benefit for both DC Healthy Families and DC Healthcare Alliance. To schedule transportation, call 866-201-9974.

COVID-19 testing sites

If you need a test and your provider is unable to give you a test, please come to one of DC’s walk-up or drive-thru sites. To see the full list of DC  test sites visit Coronavirus.DC.gov/Testing.

If you have questions, please call our Outreach Coordinator at 202-363-4348 or toll-free at 855-798-4244 (select option 1 and then option 2). TTY users call 7-1-1. Our office is open Monday through Friday from 8 a.m. to 5:30 p.m.

 

 

 

COVID-19 Vaccine and Testing Information

May 12, 2021 updates

DC residents age 18 and over can now walk-up to get their first COVID-19 vaccine shot at select District of Columbia sites. No appointment needed!  Click here for the site locations and open hours. If you are not able to leave your home, call 855-363-0333 for assistance.

Children’s National is offering COVID-19 vaccine to all DC residents ages 16 & 17 years, Click here to sign up. They will send you a text when they are ready to schedule you.

MedStar Health COVID-19 Vaccination line – District of Columbia residents can call 833-205-1553 to schedule a vaccination appointment through MedStar Health. 

Giant Food is accepting walk-ins for COVID-19 vaccinations. The vaccine is being offered to all approved ages every Monday and Thursday from 6 a.m. to 9 a.m. at all its pharmacy locations throughout Washington, D.C. Vaccinations are available for individuals receiving either their first or second dose. Customers can still set up an appointment at any of Giant's pharmacy locations by going to giantfood.com/covid-info. A list of vaccines offered at each location is available at giantfood.com/covid-info. Vaccines are provided at no cost, though residents are asked to bring their health insurance card and driver's license to their appointment.

Testimonials from seniors on why they chose to get vaccinated. Dr. Lisa Fitzpatrick, partnered with the DC Housing Authority, DC Health, Sibley Memorial Hospital and Johns Hopkins Medicine to host COVID-19 vaccine clinics for seniors.

Vaccine Distribution and Eligibility

DC has implemented its vaccination distribution plan and MedStar Family Choice-DC (MFC-DC) will follow this plan and the guidance of the District government leading this effort. For the latest information from the District of Columbia visit Coronavirus.DC.gov or call 855-363-0333.

Vaccine safety

COVID-19 vaccines are a positive turning point in this public health crisis that has impacted us all. The U.S. vaccine safety system ensures that all vaccines are as safe as possible. Safety is a top priority while federal partners work to make COVID-19 vaccines available. To learn more visit CDC.gov/Coronavirus/Vaccines.

Transportation to COVID-19 vaccination appointments

MFC-DC will provide enrollee transportation to and from vaccination appointments at no cost to you. This is a covered benefit for both DC Healthy Families and DC Healthcare Alliance. To schedule transportation, call 866-201-9974.

COVID-19 testing sites

If you need a test and your provider is unable to give you a test, please come to one of DC’s walk-up or drive-thru sites. To see the full list of DC  test sites visit Coronavirus.DC.gov/Testing.

If you have questions, please call our Outreach Coordinator at 202-363-4348 or toll-free at 855-798-4244 (select option 1 and then option 2). TTY users call 7-1-1. Our office is open Monday through Friday from 8 a.m. to 5:30 p.m.

 

 

 

Makena (17-alpha hydroxyprogesterone caproate, also known as 17P)

Ordering process for generic 17-alpha hydroxyprogesterone caproate injections

Steps for ordering 17P injectables:

  • Please order 17P 250mg IM multi dose vial or single dose preservative free vials according to the needs of the individual patient.
  • Generic 17P DOES NOT require prior authorization. Makena (branded 17P) products require prior authorization.
  • Generic 17P should only be used for those members that meet guidelines set forth by ACOG recommendations in ACOG Practice Bulletin # 130.
  • There is no requirement to refer MFC patients Makena Care Connection.
  • Members may elect to receive injections in the office or at home using an in-network home health provider.

Pharmacy options:

Option 1 – Send order to any local retail pharmacy of patient’s choice. Many larger pharmacy chains are now carrying the generic (Walmart, for ex.). The patient can receive the injection in office as per patient and provider preference.

Option 2 - Send order to CVS Caremark Specialty. CVS Caremark will ship 17P directly to your patient’s address or to a local CVS pharmacy for patient pickup. Please complete the CVS Caremark Specialty form in its entirety with special care to verify the patient’s most recent address and phone number. Be sure to include the practitioner’s signature as this form also acts as a prescription. There is at least 3-day turnaround time at CVS Caremark for processing.

Option 3 - Send order to Optum Women’s and Children’s Home Health for services to provide 17P in-home administration alone or to include the dispensing of 17P from Optum pharmacy as part of a bundled service with in-home administration. There is a 48-hour turnaround time from Optum for processing.

For questions or concerns, please call 800-905-1722, option 2, Case Management Department, High Risk Pregnancy Case Manager.

Welcome DC Healthcare Alliance Enrollee

Thank you for choosing MedStar Family Choice-DC as your trusted healthcare provider!

Open Enrollment Period ended December 31, 2020. Starting January 1, 2021, enrollees are expected to receive care from
in-network providers.

Enrollees who have not selected a primary care provider (PCP) and/or primary dental provider (PDP) prior to the end of open enrollment will be assigned a PCP and/or PDP and in January will receive new ID cards in the mail. 

As a new enrollee, there are a few important steps to take.

Choose your Primary Care Provider (PCP) and Primary Dental Provider (PDP) by:

  • Calling Enrollee Services at 888-404-3549 (for a primary care provider)
  • Calling Avesis at 844-391-6678 (for a primary dental provider)

To find a list of doctors in the MedStar Family Choice-DC network, visit our Find A Provider website.

Call the MedStar Family Choice-DC Outreach Department at 855-798-4244 for help:

  • Understanding your medical benefits and support services
  • Completing the health risk assessment
  • Scheduling doctor visits for you or family members
  • Accessing health information, education, and other resources

Read the DC Healthcare Alliance Enrollee Handbook (Spanish version and Amharic version) to learn about your rights, responsibilities, benefits, and more! 

Please download Adobe Reader if you are having problems viewing the PDF.

Read the Spring 2021 Enrollee Newsletter (Spanish version and Amharic version)!

The MedStar Family Choice-DC Enrollee Newsletter contains information about benefits and services, as well as general topics of interest for leading a healthy lifestyle.

 

 

 

 

Welcome DC Healthy Families Enrollee

Thank you for choosing MedStar Family Choice-DC as your trusted healthcare provider!

Open Enrollment Period ended December 31, 2020. Starting January 1, 2021, enrollees are expected to receive care from
in-network providers.

Enrollees who have not selected a primary care provider (PCP) and/or primary dental provider (PDP) prior to the end of open enrollment will be assigned a PCP and/or PDP and in January will receive new ID cards in the mail. 

As a new enrollee, there are a few important steps to take.

Choose your Primary Care Provider (PCP) and Primary Dental Provider (PDP) by:

  • Calling Enrollee Services at 888-404-3549 (for a primary care provider)
  • Calling Avesis at 844-391-6678 (for a primary dental provider)

To find a list of doctors in the MedStar Family Choice-DC network, visit our Find A Provider website.

Call the MedStar Family Choice-DC Outreach Department at 855-798-4244 for help:

  • Understanding your medical benefits and support services
  • Completing the health risk assessment
  • Scheduling doctor visits for you or family members
  • Accessing health information, education, and other resources

Read the DC Healthy Families Enrollee Handbook (Spanish version and Amharic version) to learn about your rights, responsibilities, benefits, and more!
Please download Adobe Reader if you are having problems viewing the PDF.

Read the Spring 2021 Enrollee Newsletter (Spanish version and Amharic version)!

The MedStar Family Choice-DC Enrollee Newsletter contains information about benefits and services, as well as general topics of interest for leading a healthy lifestyle.

 

 

 

 

MedStar eVisit

Check "feel better" off your list with MedStar eVisit. See a doctor online 24/7 at no cost to MedStar Family Choice-DC enrollees!

What is MedStar eVisit?

  • MedStar eVisit gives you 24/7 video access to board-certified medical doctors. This makes it easy to get the care you need, anywhere, anytime!
  • You can connect with a medical doctor via secured video from your tablet, smart phone, or computer for non-urgent medical conditions.

How does it work?

  • Download the MedStar eVisit app for your Apple or Android (Click on the hyperlinked text for your smartphone.)
  • If you do not have an iPhone or Android device, you can also visit MedStarHealth.org/eVisit from your desktop.
  • Sign up by creating an account. It only takes a minute.
  • Select from the list of board-certified doctors who are available for consultation.
  • Connect with a doctor within minutes through secure video at home or on the go.
  • Your doctor will consult with you, diagnose, send a prescription, or help you with a referral as appropriate.

 What type of conditions can MedStar eVisit treat?

  • Cold or flu-like symptoms
  • Seasonal allergies
  • Sore throat
  • Pink eye
  • Rash or hives
  • Nausea, vomiting, or diarrhea
  • Headaches or migraines
  • Constipation
  • Dry skin
  • Sinus infection
  • Joint or back pain
  • Minor cuts or burns
  • Known urinary tract infections
  • Known yeast infection
  • Tick borne illness (Lyme)

 When should I not use MedStar eVisit?

  • You should not use MedStar eVisit if you are experiencing severe flu symptoms and require an in-person evaluation.
  • These symptoms include difficulty breathing or shortness of breath, chest pain or discomfort, dizziness, confusion, severe or persistent vomiting, and/or flu-like symptoms that improve then worsen again.
  • If you are experiencing a medical emergency, please call 911 or visit your nearest emergency room.

How much does MedStar eVisit cost?

MedStar eVisit is available at no cost for all MedStar Family Choice-DC enrollees! 

 

 

 

 

MedStar eVisit

Check "feel better" off your list with MedStar eVisit. See a doctor online 24/7 at no cost to MedStar Family Choice-DC enrollees!

What is MedStar eVisit?

  • MedStar eVisit gives you 24/7 video access to board-certified medical doctors. This makes it easy to get the care you need, anywhere, anytime!
  • You can connect with a medical doctor via secured video from your tablet, smart phone, or computer for non-urgent medical conditions.

How does it work?

  • Download the MedStar eVisit app for your Apple or Android (Click on the hyperlinked text for your smartphone.)
  • If you do not have an iPhone or Android device, you can also visit MedStarHealth.org/eVisit from your desktop.
  • Sign up by creating an account. It only takes a minute.
  • Select from the list of board-certified doctors who are available for consultation.
  • Connect with a doctor within minutes through secure video at home or on the go.
  • Your doctor will consult with you, diagnose, send a prescription, or help you with a referral as appropriate.

 What type of conditions can MedStar eVisit treat?

  • Cold or flu-like symptoms
  • Seasonal allergies
  • Sore throat
  • Pink eye
  • Rash or hives
  • Nausea, vomiting, or diarrhea
  • Headaches or migraines
  • Constipation
  • Dry skin
  • Sinus infection
  • Joint or back pain
  • Minor cuts or burns
  • Known urinary tract infections
  • Known yeast infection
  • Tick borne illness (Lyme)

 When should I not use MedStar eVisit?

  • You should not use MedStar eVisit if you are experiencing severe flu symptoms and require an in-person evaluation.
  • These symptoms include difficulty breathing or shortness of breath, chest pain or discomfort, dizziness, confusion, severe or persistent vomiting, and/or flu-like symptoms that improve then worsen again.
  • If you are experiencing a medical emergency, please call 911 or visit your nearest emergency room.

How much does MedStar eVisit cost?

MedStar eVisit is available at no cost for all MedStar Family Choice-DC enrollees! 

 

 

 

 

Claims Payment Dispute

The Claims Department will accept correspondence in the form of a Claims Payment Dispute Form. MedStar Family Choice has developed a new form for your convenience. This form contains all of the information that is required to process your request. Please complete the form in its entirety and mail or email the form to the address listed on the Claims Payment Dispute Form.

A claims payment dispute may be submitted for multiple reason(s), including:

  • Contractual payment issues
  • Disagreements over reduced or zero paid claims
  • Other health insurance denial issues
  • Submit another carrier’s EOB
  • Retro-eligibility issues
  • Paid to wrong provider
  • In/Out Network issue
  • Claim denied for lack of authorization but you have proof of prior authorization

Providers must use the Claims Payment Dispute Form for all payment disputes or your request will not be processed. Providers have 90 business days from date of the denial.

Send this form and all supporting documents to:

Secure Email: [email protected] or
Address: MedStar Family Choice
PO Box 2189 Milwaukee, WI 53201
ATTN: Payment Disputes
Phone: 800-261-3371

COVID-19 Testing and Vaccinations

All Marylanders 12 and older are now eligible for vaccination. Click here to find a pharmacy, hospital, or local health department near you to make an appointment.

When it comes to getting the COVID-19 vaccine, it’s your choice. Please visit MedStarHealth.org/VaccineQuestions for what you need to know to make an informed decision. We want you to feel confident about your choice when it’s your turn to get vaccinated.

In addition, MedStar Health recently hosted a Facebook Live event with physicians and researchers who answered questions about the COVID-19 vaccine. Click on the following links below to watch the videos.

https://www.facebook.com/events/3892023820919942

https://www.facebook.com/MedStarHealth/videos/1311054092597750  

Maryland GoVAX COVID-19 Vaccination Support Center

The Maryland GoVAX COVID-19 Vaccination Support Center is now available to make COVID-19 vaccine appointments and information easily available for Marylanders without internet access. The support center can be reached 7 days a week from 7 a.m. to 10 p.m. at 855-MDGOVAX (855-634-6829).

Callers who wish to speak to a Support Advocate are then presented with a menu with options to:

  • Determine vaccination eligibility
  • Locate a COVID-19 testing site (using a 5-digit ZIP code)
  • Schedule first and second dose vaccine appointments at a mass vaccination site and receive confirmation for the appointments
  • Get help finding a vaccination provider closest to you
  • Discover information on the COVID-19 vaccine
  • Ask general questions about COVID-19

Live Support Advocates are available to callers using both voice and text services at any time. Support Advocates are available in English and Spanish. For more information, click here.

Marylanders who have access to the internet, can visit CovidLink.Maryland.gov and connect by chatbot or instant-message with an advocate. Internet users can also visit Coronavirus.Maryland.gov/pages/vaccine to find the closest vaccination site.

COVID-19 Testing Information

To find no cost COVID-19 testing locations near you, please visit Coronavirus.Maryland.gov/Pages/Symptoms-Testing.

Diabetes Prevention Program

The CDC National Diabetes Prevention Program (DPP) is now a covered benefit for members of MedStar Family Choice. The DPP is a yearlong, lifestyle change program with a wealth of scientific studies supporting its effectiveness at reducing the risk of developing type 2 diabetes in at-risk individuals.

Both the American Medical Association (AMA) and CDC acknowledge the rising prevalence rate of type 2 diabetes and how it is a significant healthcare concern on a national scale. Closer to home, the DPP is also included in the recently published Maryland State Diabetes Action Plan (PHPA.Health.Maryland.gov/CCDPC/Pages/Diabetes-Action-Plan.aspx). We encourage you to review the Maryland Diabetes Action Plan so you know how to become involved in this very important public health initiative.

Patients may self-refer to a DPP program, but we hope you will help identify patients in your practice who qualify for the program. A recommendation coming from you would be strong encouragement for your patient to participate.

Eligible MedStar Family Choice members can participate in one of three ways: 1) online; 2) distance learning (via phone or video conference); or 3) in-person. To be eligible for the DPP, patients must:

  • Be ages 18 to 64 at the start of the year-long program;
  • Be overweight or obese with a Body Mass Index (BMI) of 25 or more
    (23 or more if of Asian descent);
  • Be diagnosed with gestational diabetes or pre-diabetes; and
  • Have had one of the following blood tests in the last 12 months with results in the range below:
    1. Fasting glucose of 100 to 125 mg/dL;
    2. Plasma glucose measured 2 hours after a 75 gm glucose load of 140 to 199 mg/dL; or
    3. Hemoglobin A1C level of 5.7% to 6.4%

All three versions follow a curriculum outlined and approved by the CDC. All of the programs are either recognized or in-process to be recognized by the CDC and Maryland HealthChoice. MedStar Family Choice has DPP providers who can offer one, two, or all three options to accommodate members’ preferences and needs. All modalities have been shown to be effective in clinical studies.

You can recommend a patient to join a DPP program by completing the recommendation form and faxing it to the DPP provider of your choice like a referral.

Let’s take an active approach in partnering with our available resources to help serve our patients. If you have any questions, please contact your Provider Relations representative.