Regulation detail

22-A6200

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22-A6200 changed

22-A6200 PURPOSE

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
DETOX (60%) OTP (60%) OUTPATIENT (60%) SUD_IOP (60%) SUD_RESIDENTIAL (60%)
Plain-English summary

This chapter establishes reimbursement rates for services provided by Department of Behavioral Health (DBH)-certified substance abuse providers in the District of Columbia. It clarifies that certification alone does not entitle a provider to reimbursement; eligibility is governed by a Human Care Agreement with the Department and is subject to available appropriated funds. Compliance staff should note that this chapter sets financial/reimbursement rules, not operational or licensing standards, for certified substance abuse treatment facilities and programs.

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Regulation text
6200 PURPOSE 

6200.1 This chapter establishes the reimbursement rate for services provided to eligible District residents by Department of Behavioral Health (Department) certified substance abuse providers, as this term is defined in Chapter 23 (Certification Standards for Substance Abuse Treatment Facilities and Programs) of Title 29 (Public Health) of the District of Columbia Municipal Regulations (DCMR). 

6200.2 Nothing in this chapter grants to a certified substance abuse provider the right to reimbursement for costs of substance abuse services and supports. Eligibility for reimbursement is determined solely by the Human Care Agreement between the Department and the certified substance abuse provider, and reimbursement is subject to the availability of appropriated funds. 

SOURCE: Final Rulemaking published at 61 DCR 3548 (April 4, 2014).

District of Columbia Municipal Regulations

 Mental Health
22-A DCMR § 6200