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Care management programs

AmeriHealth Caritas District of Columbia (DC) has special programs to help you stay healthy. We connect you with your own personal care coach to help you get the care and information you need.

You do not need a referral from your Primary Care Provider (PCP) to be a part of any of these programs. There are 3 ways to get one-on-one help from a care coach today!

  1. Stop by the Member Wellness Center.
  2. Call Member services at 1-202-408-4720 or 1-800-408-7511 (toll free), 24 hours a day, 7 days a week.
  3. Log in to the member portal and click "Enroll in a special program" to sign up online.

Bright Start®

Early and complete health care before your child’s birth is the key to having a healthy baby! Bright Start helps moms-to-be make healthy choices for themselves and their unborn baby. Any member who is pregnant can be a member of Bright Start. Bright Start is FREE.

You can reach AmeriHealth Caritas District of Columbia’s Bright Start program at 1-877-759-6883. To request to join Bright Start, log in to the member portal and go to "Enroll in a Special Program".

Complex care management

AmeriHealth Caritas DC has integrated care management programs for members who have special health care needs, behavioral health conditions and chronic conditions, such as asthma, diabetes and high blood pressure. In this program, you get a care coach who will help you get the services and informations you need to improve your health.

To get your very own care coach, call the Rapid Response and Outreach Team at 1-877-759-6224. Or, request to join one of these programs. Log in to the member portal and go to "Enroll in a Special Program" to get started.

HealthCheck program for children (EPSDT)

If your child is under 21, your child is in the Health Check Program. This program is also called the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT). The HealthCheck Program gives your child a number of important check-ups. Your child's PCP will provide or help your child get these services. Or, request to join HealthCheck. Log in to the member portal and go to "Enroll in a Special Program" to get started.

The IDEA program

IDEA stands for the Individuals with Disabilities Education Act. IDEA is a federal law. The IDEA program provides special services for your child with developmental delays, disabilities, or special needs. To get an IDEA evaluation, call your PCP. If your child needs IDEA services, your PCP will refer your child to the DC Government's Early Intervention Program. AmeriHealth Caritas District of Columbia has case managers who can tell you more about IDEA and the other services your child can get.

For more detailed information on these programs, refer to your member handbook or call member services at 1-202-408-4720 or 1-800-408-7511.

The Ombudsman Program

The Ombudsman Program is a District of Columbia government program that can assist and advise you in receiving health care from your managed care organization. The Ombudsman can explain the health care you have a right to receive and respond to your questions and concern about your health care.

For more information about the Ombudsman Program, see your member handbook. You can also reach the Ombudsman Program by calling 1-202-724-7491.

Interested in joining a special program? Go to the member portal and enroll today. Sign up. Log on. Stay connected.