Regulation detail

22-A2217

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22-A2217 RIGHT TO REVIEW

Jurisdiction: DC Agency: DC Department of Behavioral Health (DBH) — Title 22-A; and DC Department of Health Care Finance (DHCF) — Title 29 Medicaid behavioral-health chapters
CMHC (40%) IDD_COMMUNITY (40%) MH_RESIDENTIAL (40%) OUTPATIENT (40%)
Plain-English summary

This regulation establishes a review process for consumers who are denied eligibility for a supported housing subsidy administered by the DC Department of Behavioral Health. Consumers have 15 business days to request a review, must provide a written statement and supporting documentation, and the Director must issue a written decision within 15 business days of receiving the request. This is an administrative appeals procedure and does not directly license or set operating standards for any specific level of care facility.

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Regulation text
2217 RIGHT TO REVIEW

2217.1 The Department may afford a consumer the opportunity to seek review of the Department’s decision to deny eligibility for a supported housing subsidy.

2217.2 A consumer may request a review within fifteen (15) business days of the Department’s denial of eligibility.

2217.3 Each request for a review shall contain a concise statement of the reason why the consumer should be determined eligible to receive a supported housing subsidy, with supporting documentation, if available.

2217.4 Each administrative review shall be conducted by the Director and shall be completed within fifteen (15) business days of the receipt of the consumer’s request.

2217.5 The Director shall issue a written decision which sets forth his or her evaluation and resolution of the denial and describes the actions required of the Department and actions required of the consumer in implementing the decision.

SOURCE: Final Rulemaking published at 60 DCR 6479 (May 3, 2013).