The District of Columbia, Department of Health Care Finance (DHCF) partnered with The George Washington University (GWU) Medical Center to produce a comprehensive analysis report on Medicaid claims processes. This effort will guide DHCF in the development of an Administrative Services Organization (ASO) to streamline Medicaid billing. Select Improving Medicaid* for a copy of the report.
The central recommendation arising from this assessment is that the District of Columbia procures the services of a single ASO to perform billing, claims submittal, and related administrative functions for the identified DC agencies examined as a means of achieving greater efficiency and improved customer service. Implementation should consist of building the full ASO capacity at the outset while phasing in the conversion of agency business processes and systems over time, beginning with the District of Columbia Public Schools (DCPS), Children and Family Services Agency (CFSA), and Department of Mental Health (DMH).