DC Medicaid D-TIPs Incentive Program

Welcome to the DC D-TIPs Incentive Program Portal

Provider organizations participating in this program must meet the DC program requirements in order to receive incentive payments.

A new participant for the programs is required to register to confirm eligibility prior to completing attestation.

Please complete the registration details below to submit application for participation in one or both incentive programs.

Registration Details
Complete the following registeration details. All fields are required for registeration
Provider Organization Details
Group/Individual NPI:
Provider Organization Name
TIN:
Payee NPI
Payee TIN
Address
City
State
Zip
Provider Organization Contact Details
Provider Organization Email
Provider Organization Phone
Provider Organization POC
Technical Assistance (TA) Details
TA Name
TA Email
TA Phone
 
Create Password
Password must be at least 8 or more characters in length. It must have at least 1 Capital letter, 1 Lowercase letter and 1 number.
Password
Confirm Password