Regulation detail

22-A3707

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22-A3707 MENTAL HEALTH SUPPORTED EMPLOYMENT SERVICES ELIGIBILITY

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
OUTPATIENT (60%)
Plain-English summary

This regulation establishes eligibility criteria for Mental Health Supported Employment services within DC's Mental Health Rehabilitation Services (MHRS) program. To qualify, a consumer must be at least 18 years of age, express interest in employment, have the service identified on a current person-centered Plan of Care, not be receiving ACT services, and be determined eligible by the Department of Behavioral Health through an independent needs-based assessment demonstrating mental health needs and at least one specified risk factor. Facility operators and service providers must ensure consumers meet all listed criteria before enrolling them in supported employment services.

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Regulation text
3707 MENTAL HEALTH SUPPORTED EMPLOYMENT SERVICES ELIGIBILITY

3707.1 To be eligible for Mental Health Supported Employment services, a consumer shall:

Be at least eighteen (18) years of age;

Indicate an interest in employment as determined through the diagnostic and comprehensive assessments for the Mental Health Rehabilitation Services (MHRS) program;

Have Mental Health Supported Employment identified as a needed service on a current, MHRS person-centered Plan of Care that has been reviewed by the Department;

Not be receiving MHRS Assertive Community Treatment (ACT) services; and

Be determined by the Department of Behavioral Health (the Department) as eligible for Mental Health Supported Employment services after undergoing an independent needs-based assessment pursuant to § 3708.3(b) that examines the following:

Be assessed to have mental health needs that require an improvement, stabilization, or prevention of deterioration in functioning (including ability to live independently without support), which result from the presence of a mental illness; and 

Have at least one (1) of the following risk factors:

Be unable to sustain gainful employment for at least ninety (90) consecutive days as related to a history of mental illness; 
An inability to obtain or maintain employment resulting from age or disability (physical or behavioral);

More than one instance of mental illness treatment in the past two (2) years; or

Be at risk for deterioration of mental illness as evidenced by one (1) or more of the following:

Persistent or chronic risk factors such as social isolation due to a lack of family or social supports, poverty, criminal justice involvement, or homelessness; 
Care for mental illness requiring multiple provider types, including behavioral health, primary care, and long-term services and supports; or 
A past psychiatric history with no significant functional improvement that can’t be maintained without treatment and supports.

SOURCE: Notice of Final Rulemaking published at 58 DCR 10330, 10337 (December 9, 2011); as amended by Final Rulemaking published at 67 DCR 10775 (September 4, 2020); as amended by Final Rulemaking published at 69 DCR 011733 (September 30, 2022); as amended by Final Rulemaking published at 70 DCR 016660 (December 29, 2023).

District of Columbia Municipal Regulations

 Mental Health
22-A DCMR § 3707