Regulation detail

22-A5802

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22-A5802 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
MH_RESIDENTIAL (80%)
Plain-English summary

This section establishes eligibility requirements for reimbursement under DC's Mental Health Community Residence Facility (MHCRF) program. Only licensed independent MHCRF operators that have executed a Human Care Agreement (HCA) with the DC Department of Behavioral Health and provide services to individuals requiring a higher level of care (as determined by assessment and treatment plan) may bill the Department under this chapter.

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Regulation text
5802 ELIGIBILITY 

5802.1 Only a licensed independent MHCRF operator who has entered into a HCA with the Department to provide services to individuals who require a higher level of care, as determined by an assessment and treatment plan, will be eligible for reimbursement in accordance with its HCA with the Department, and may bill the Department under this chapter. 

SOURCE: Final Rulemaking published at 59 DCR 8546, 8547 (July 20, 2012).