This section defines services that are not reimbursable under the DC Mental Health Rehabilitation Services (MHRS) program, including room and board, inpatient hospital services, transportation, educational/vocational services, services by family members, social/recreational services, non-medically necessary services, and services not documented per certification standards. Facility operators must ensure that only covered behavioral health services are billed under MHRS and that all services are medically necessary, properly documented, and directed to the consumer's benefit.
View official source3435 NON-REIMBURSABLE SERVICES 3435.1 Services not covered as MHRS include: Room and board residential costs; Inpatient hospital services, including hospital, nursing facility, intermediate care facility for individuals with intellectual disabilities, and institutions for mental diseases; Transportation services; Educational, vocational, and job training services; Services rendered by parents or other family members; Social or recreational services; Screening and prevention services (other than those provided under Early and Periodic Screening, Diagnosis, and Treatment requirements); Services that are not medically necessary; Services that are not provided and documented in accordance with these certification standards; Services that are not behavioral health services as described in these rules; and Services furnished to persons other than the consumer, when those services are not directed primarily to the well-being and benefit of the consumer. SOURCE: Final Rulemaking published at 70 DCR 003050 (March 10, 2023); as corrected by Errata Notice published at 71 DCR 004474 (April 19, 2024). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 3435