DialClerk Directory

District of Columbia Medicaid (DHCF / Gainwell)

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

DC Medicaid utilization-management program contact — Comagine Health

Official page read
Phone800-251-8890Published hours

Monday–Friday, 8 a.m.–5 p.m. ET; closed on the holidays listed on the program contact page.

Product, plan and location

medicaid
District of Columbia

Mailing address

Not researched for this route

Program contact for DC Medicaid utilization management. The state portal continues to direct specified prior-authorization workflows to the Comagine Health Provider Portal. Confirm the service-specific submission method; this contact is not the Gainwell claims inquiry desk.

View source ↗ · Source checked 2026-10-22 · State fiscal-agent portal confirms current Comagine authorization responsibilities ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

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  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

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  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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