This regulation governs billing and reimbursement procedures for licensed Mental Health Community Residence Facility (MHCRF) operators contracting with the DC Department of Behavioral Health. Operators must submit per diem claims with supporting documentation in accordance with their contract terms, and may not submit claims exceeding their contracted amount. The Department will reimburse eligible claims subject to available appropriated funds.
View official source5703 SUBMISSION OF CLAIM; PAYMENT OF INVOICE 5703.1 The licensed MHCRF operator shall submit all per diem claims under the contract, pursuant to this chapter and the terms of the contract. 5703.2 The licensed independent MHCRF operator shall submit appropriate documentation to support all claims under its contract with the Department. 5703.3 The Department will reimburse a licensed MHCRF operator for a claim that is determined by the Department to be eligible for reimbursement pursuant to the terms of the contract between the Department and the licensed MHCRF operator, subject to the availability of appropriated funds. 5703.4 No MHCRF operator shall submit claims in excess of its contract with the Department. SOURCE: Final Rulemaking published at 61 DCR 12771 (December 19, 2014). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 5703