Washington, DC Brain Injury, Medicaid, and Fair Hearing Help: Official Starting Points
Use this page if you live in Washington, DC and need Medicaid or disability-service help after a brain injury, or need to challenge a denial, reduction, suspension, or termination.
ABI Resources provides care services in Connecticut. This District of Columbia page is public educational information and does not mean ABI Resources provides services in DC. District agencies and health plans make eligibility and service decisions.
Start here
Save the government or health-plan notice and its envelope.
Write down the notice date, proposed change date, and appeal deadline.
Call the number on the notice or Medicaid card and ask what appeal step comes first.
Ask whether benefits can continue while the matter is reviewed.
Ask for a reasonable accommodation, interpreter, accessible format, or support person.
Submit the request and keep proof.
Official DC Medicaid starting points
The DC Department of Health Care Finance is the District’s Medicaid agency. Its official pages provide agency contacts and information about long-term care operations.
Ask DHCF or your health plan which program is responsible, whether an assessment is required, and who must give you a written decision.
If Medicaid denies, reduces, suspends, or stops a service
DC’s official fair-hearing information says a person may request a Fair Hearing through the DC Office of Administrative Hearings when Medicaid is believed to have wrongly denied, reduced, suspended, or stopped a service or item.
The official fair-hearing page currently states that a request may be made within 90 days of the notice. It also states that requesting a hearing before the 30-day notice period ends can matter for continued benefits. Your own notice controls the action you must take, so act immediately.
Questions to ask
“What exact decision was made?”
“What deadline applies to me?”
“Do I need a plan appeal before a Fair Hearing?”
“How do I ask for an expedited review?”
“How do I request continued benefits?”
“How do I get my case record?”
“How do I request an accommodation or interpreter?”
Build a simple evidence packet
Put these items in date order:
Decision notice and envelope.
Service plan, assessment, and authorization.
Relevant clinician or care-team statements.
Short description of health and safety risks.
Call log with dates, names, and reference numbers.
Copies and proof of delivery for every filing.
Do not send original documents unless the agency specifically requires them. Remove unnecessary sensitive information from ordinary email and use the official secure method when available.
More help from ABI Resources
Reviewed September 19, 2026. Verify current instructions on the linked government pages and your own notice. This page is general information, not legal or medical advice. Call 911 for an emergency or 988 for suicide or crisis support.
