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Delmarva/DC Medical Assistance Administration (DCMAA) Portal Access

This form is used to grant authorized District of Columbia Providers (i.e. Acute Care Hospitals and Nursing Facilities) access to the Delmarva/DCMAA Portal.  The Portal is a product of Delmarva Foundation.

Delmarva/DCMAA Portal Access Form [doc]

When each form has been completed, please return them to Robin Revels-Fitzhugh via fax at (202) 496-6555, or mail to:

Robin Revels-Fitzhugh
Delmarva Foundation
2175 K Street, NW
Suite 250
Washington, DC 20037