Skip to Main content

Menu

Renew
Enrollees
Providers
Healthy Living
Community Resources
Report Fraud
About
Login
- Enrollee Portal
- Provider NaviNet Portal
Language
Search

Secondary Navigation

Report Fraud
About
Login
- Enrollee Portal
- Provider NaviNet Portal
Language

Search

Main Navigation

Renew
Enrollees

Enrollees homepage Enrollee newsletter Mobile app Get a ride to your appointment Medicaid Enrollees
Medicaid welcome kit Medicaid benefits, services, programs Medicaid important numbers Alliance Enrollees Alliance welcome kit
Alliance benefits, services, programs Alliance important numbers Health library Telehealth Find a provider

Act now to keep your coverage

Community resources

Enrollee portal login
Providers

Providers homepage New to the plan Forms Resources
Claims and billing Prior authorizations Manuals and guides Education and training
Behavioral health Dental Pharmacy Sign up for email alerts

Newsletters and updates

Provider directories and drug formularies

NaviNet login
Healthy Living

Healthy Living Classes Special Health Programs CARE Card Rewards Program Enrollee Wellness Center
Community Resources

Home > Providers > Provider resources > Forms

Forms

3M dashboard user form (PDF)
Pharmacy prior authorization forms
Medical authorization and other forms

Latest provider updates
Prior authorization lookup tool
New to the plan
Behavioral health
Claims and billing
Dental
Education and training
Forms
- Pharmacy prior authorization forms
- Medical authorization and other forms
Manuals and guides
Pharmacy
Provider directories and drug formularies
Resources
Sign up for email alerts

Careers
Site Map
Contact
Report fraud, waste, or abuse
Non-discrimination notice (PDF)
Medicaid Notice of Privacy Practices (PDF)
Alliance Notice of Privacy Practices (PDF)

Download our mobile app

Social media

Now is the time to act on Medicaid redetermination!

Are you still eligible for Medicaid coverage? Have questions about Medicaid renewals?

Act now to keep your coverage!

Copyright © 2013-2024 AMERIHEALTH CARITAS DISTRICT OF COLUMBIA. All rights reserved.

This site contains links to other internet sites. AmeriHealth Caritas District of Columbia is not responsible for the content of these sites. Please see Terms of Us, Privacy Notice, and Third-Party Data Privacy and Educational Materials.