Regulation detail

22-A5701

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22-A5701 changed

22-A5701 REIMBURSEMENT RATE

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
MH_RESIDENTIAL (100%)
Plain-English summary

This regulation establishes the Medicaid per diem reimbursement rates for Mental Health Community Residential Facilities (MHCRFs) in the District of Columbia, effective June 14, 2024. It sets daily rates for five service levels: Transitional Supported Residence ($81.70), Supported Residence ($77.90), Supported Rehabilitative Residence ($126.50), Supported Rehabilitative Residence – Hearing Impaired ($155.03), and Intensive Residence ($195.05). Facility operators must bill using the specified service codes to receive the applicable per diem rate.

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Regulation text
5701 REIMBURSEMENT RATE

5701.1 The MHCRF Per Diem rates effective June 14, 2024, are as set forth below: 
 
SERVICE CODE RATE UNIT Transitional Supported Residence MHCRF Per Diem TSR01 $ 81.70 Daily Supported Residence MHCRF Per Diem SR01 $ 77.90 Daily Supported Rehabilitative Residence MHCRF Per Diem SRR01 $126.50 Daily Supported Rehabilitative Residence MHCRF Per Diem – Hearing Impaired SRR02 $155.03 Daily Intensive Residence MHCRF Per Diem IR01 $195.05 Daily 

SOURCE: Final Rulemaking published at 61 DCR 12771 (December 19, 2014); as amended by Final Rulemaking published at 67 DCR 2791 (March 13, 2020); as amended by Final Rulemaking published at 71 DCR 014542 (November 29, 2024).

District of Columbia Municipal Regulations

 Mental Health
22-A DCMR § 5701