This regulation establishes staffing requirements for Health Home programs operated by Community Support Agencies (CSAs) under DC's Department of Behavioral Health. Providers must employ a Health Home Director (master's-level, 0.5 FTE per 300 consumers), a Nurse Care Manager (APRN or RN, 1 FTE per 150 consumers), and a Primary Care Liaison (licensed clinician, 1 FTE per 500 enrollees). All Health Home providers must operate under a Human Care Agreement with the Department and register with DHCF's information system prior to billing.
View official source2513 HEALTH HOME STAFFING REQUIREMENTS 2513.1 Health Homes shall have the following staff: (a) Health Home Director; (b) Nurse Care Manager(s); and (c) Primary Care Liaison. 2513.2 The Health Home Director shall be responsible for managing the CSA’s Health Home program. The Health Home Director shall have a Master’s level education in a health-related field. There shall be a point five (.5) Full Time Equivalent staff person for every Health Home Team of three hundred (300) consumers. 2513.3 The Nurse Care Manager shall be an Advanced Practice Registered Nurse (APRN) or Registered Nurse (RN) with relevant experience and expertise in care of physical health care. The Nurse Care Manager shall lead and/or manage team-based assessment, care plan development and care plan implementation activities. The Health Home provider shall ensure one (1) full-time Nurse Care Manager per one hundred and fifty (150) enrolled Health Home consumers. 2513.4 The Primary Care Liaison shall be staffed with a licensed clinician or combination of clinicians based on the needs of the individual Health Home consumer. The Primary Care Liaison shall have experience in the care and treatment of the serious mentally ill and be a Medical Doctor, APRN, Nutritionist, Licensed Independent Clinical Social Worker, Licensed Professional Counselor, Physician Assistant or Registered Nurse. A provider may use a combination of these staff to meet the full time equivalent (FTE) requirement. The Primary Care Liaison shall be licensed in the District of Columbia. The Health Home provider shall ensure one (1) full-time Primary Care Liaison per five hundred (500) Health Home enrollees. The responsibilities of the Primary Care Liaison shall include the following: Provide medical consultation to the Health Home team; (b) Coordinate care with external medical and behavioral health providers; and (c) Assist with developing effective Health Home comprehensive care management and coordination of care protocols involving community and hospital medical providers. 2513.5 All Health Homes shall provide Health Home services in accordance with their Human Care Agreement (HCA) with the Department. 2513.6 All Health Homes providers shall obtain a National Provider Identification (NPI) number for themselves and all personnel performing Health Homes services through the provider. All providers shall register themselves and all personnel performing Health Home services with the Department of Health Care Finance’s designated information system prior to billing for services. SOURCE: Final Rulemaking published at 63 DCR 849 (January 22, 2016); as amended by Final Rulemaking published at 66 DCR 5625 (May 3, 2019); as amended by Final Rulemaking published at 69 DCR 013495 (November 4, 2022). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 2513