Transferring Medicaid from Washington to District of Columbia
Medicaid is not portable. The Washington program stops covering you when you move, and District of Columbia Medicaid starts only after you apply and qualify under District of Columbia's rules. Apply in your first week; ask about retroactive coverage if you had medical bills during the gap.
Official District of Columbia Medicaid agency: DC Department of Health Care Finance (DHCF) ↗
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell Washington State Health Care Authority you are leaving
Use Washington Healthplanfinder's 'Update my income or address/report change' function (linked from the HCA Apple Health pages) to report a move.
Washington State Health Care Authority ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with DC Department of Health Care Finance (DHCF) as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days.
DC Department of Health Care Finance (DHCF) ↗ - 5
Ask about retroactive coverage
Most states can cover eligible medical bills up to 3 months before your application date — ask when you apply if you had care during the gap.
Washington vs District of Columbia: the numbers that decide it
| Washington (old state) | District of Columbia (new state) | |
|---|---|---|
| Program name | Apple Health | District of Columbia Medicaid |
| Agency | Washington State Health Care Authority | DC Department of Health Care Finance (DHCF) |
| ACA Medicaid expansion | Yes — adults covered on income | Yes — adults covered on income |
| Adult income limit | 138% of the federal poverty level | not published as % FPL |
Verified 2026-08-08 (Washington) and 2026-08-08 (District of Columbia) against the official sources cited below.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full Washington → District of Columbia checklistCommon questions
Can I use my Washington Medicaid in District of Columbia while I wait?
Generally no. Washington Medicaid only pays providers for Washington residents, and out-of-state care is limited to emergencies. Once you live in District of Columbia, you need District of Columbia coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in District of Columbia?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on District of Columbia's income and category rules from the day you become a resident. The application itself takes up to 45 days.
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the Washington case effective your move month.
Where do I actually apply in District of Columbia?
Through DC Department of Health Care Finance (DHCF). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: District of Columbia to Washington Medicaid
- Medicaid in Washington: leaving or arriving
- Medicaid in District of Columbia: leaving or arriving
- Moving with Medicaid: every state
- Washington to California Medicaid
- Washington to Texas Medicaid
- Washington to Florida Medicaid
- Washington to New York Medicaid
Official sources
Every fact above was checked against these official pages. Last verified.
- HCA — Apple Health (Medicaid) coverage — accessed 2026-08-08
- HCA — Apple Health for individual adults — accessed 2026-08-08
- DHCF — Medicaid — accessed 2026-08-08