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22-A3902

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22-A3902 CERTIFICATION REQUIREMENTS

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 (60%) OUTPATIENT (60%)
Plain-English summary

This section establishes certification requirements for Clubhouse specialty providers operating under DC Department of Behavioral Health (DBH) oversight. Clubhouses must comply with the general provider requirements in Chapter 34 of the subtitle, with specified exceptions. Each Clubhouse must maintain a Quality Improvement program led by a qualified QI Coordinator who reports directly to the CEO, reviews incidents and sentinel events, monitors utilization, tracks complaints, and submits clinical outcome data to DBH.

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Regulation text
3902 CERTIFICATION REQUIREMENTS

3902.1 A Clubhouse providing services to members shall comply with all of the requirements set forth in Chapter 34 of this subtitle except for the requirements set forth in §§ 3411, 3412, 3413.7, 3413.12-3413.16, 3413.19, 3413.26, 3413.29(c), 3414, 3415, and 3418-3430. 

3902.2 In addition to complying with the requirements set forth in § 3410.27 of this subtitle, each Clubhouse specialty provider Quality Improvement (QI) program shall be directed by a coordinator (QI Coordinator) who is a qualified practitioner and who has direct access to the Chief Executive Officer of the Clubhouse. The QI Coordinator shall review unusual incidents, deaths, and other sentinel events, monitor and review utilization patterns, and track consumer complaints and grievances. The QI Coordinator shall also collect and submit clinical outcome data using the process, timeline and tools specified or approved by DBH.

SOURCE: Emergency and Proposed Rulemaking published at 57 DCR 4010 (May 7, 2010)[EXPIRED]; as amended by Emergency and Proposed Rulemaking published at 57 DCR 7734 (August 20, 2010)[EXPIRED]; as amended by Final Rulemaking published at 57 DCR 8698, 8701 (September 24, 2010); as amended by Final Rulemaking published at 66 DCR 5638 (May 3, 2019); as amended by Final Rulemaking published at 67 DCR 10674 (September 4, 2020).

District of Columbia Municipal Regulations

 Mental Health
22-A DCMR § 3902