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Medicaid Renewal D2 By Mail

Please mail your completed form to:

Department of Human Services
Economic Security Administration
Outstation/ Medicaid Renewal Unit
645 H Street NE
Washington, DC 20077-0555

Remember, before you send your Renewal Form D2 by US Mail:

  • Make sure you completed all the items and answered all the questions.
  • Sign and date the signature page located in section 10 of your Renewal Form D2.
  • Please keep a copy of the completed form for your records.
  • Use the pre-paid return envelope when sending your Renewal Form D2 by mail.