This regulation establishes reimbursement rates for Functional Family Therapy (FFT) services funded by the DC Department of Behavioral Health for non-Medicaid beneficiaries, mirroring the DC Medicaid fee schedule rates. Providers are reimbursed at $51.96 per 15-minute unit using service code H2033HU. The Department must publish public notice in the DC Register and allow meaningful comment before implementing any rate changes.
View official source5200 FUNCTIONAL FAMILY THERAPY REIMBURSEMENT 5200.1 The Department of Health Care Finance has published rates for Medicaid-funded services under Title 22-A District of Columbia Municipal Regulations (DCMR) Chapter 34. Those rates are contained in the District of Columbia Medicaid fee schedule available online at HYPERLINK "http://www.dc-medicaid.com" www.dc-medicaid.com . The Department of Behavioral Health (Department) shall reimburse providers for Functional Family Therapy (FFT) services provided to non-Medicaid beneficiaries at the same rates as those contained in the District of Columbia Medicaid fee schedule. 5200.2 Reimbursement for the local-only FFT services are set forth in the table at subsection 5200.3. The Department shall update the FFT rate to reflect any future changes by publishing a Public Notice in the District of Columbia Register and providing an opportunity for meaningful comment before implementation. The Notice shall describe the type of change, the reason for the change, the effective date of the change, and the new local only reimbursement rate. 5200.3 The Functional Family Therapy rate is as set forth below: SERVICE CODE RATE UNIT FFT H2033HU $51.96 15 minutes 5200.4 All updates to the service codes and rates will be included in the District of Columbia Medicaid fee schedule pursuant to the procedures established in Title 29 DCMR Section 988, by providing notice and an opportunity for comment. SOURCE: Final Rulemaking published at 61 DCR 3787 (April 11, 2014); as amended by 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 § 5200