This section governs billing and reimbursement procedures for 'Child Choice Providers' operating under the DC Department of Behavioral Health. Providers must submit all claims through the Department's data management system with supporting documentation, cooperate with audits or investigations, and will be reimbursed for eligible claims subject to available appropriated funds.
View official source3607 SUBMISSION OF CLAIM; PAYMENT OF VOUCHER 3607.1 The Child Choice Provider shall submit all claims for services rendered pursuant to this chapter through the Department’s data management system. 3607.2 The Child Choice Provider shall submit appropriate documentation to support all claims under the HCA and upon request of the Department shall cooperate in any audit or investigation concerning this program. 3607.3 The Department will reimburse a Child Choice Provider for a claim that is determined by the Department to be eligible for reimbursement pursuant to the terms of the HCA between the Department and the Child Choice Provider, subject to the availability of appropriated funds. SOURCE: Final Rulemaking published at 63 DCR 16080 (December 30, 2016). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 3607