This regulation defines the Clinical Care Coordination (CCC) core service within DC's behavioral health system, requiring practitioners to take a whole-person approach by coordinating care between behavioral health clinicians and external providers (e.g., primary care, hospitals). CCC includes communicating treatment needs, facilitating transitions between levels of care, and treatment planning activities conducted face-to-face or via telehealth. The service must be delivered in certified SUD treatment programs or community settings by qualified licensed practitioners, and each encounter must be documented with the purpose, actions taken, and results achieved.
View official sourceCORE SERVICE: CLINICAL CARE COORDINATION The CCC service adopts a “whole-person” approach to address the client’s needs related to physical health, behavioral health, and social determinants of health. CCC involves coordination of care between the behavioral health clinician and the clinical personnel of an external provider (e.g., primary care, another behavioral health provider, hospital). CCC occurs when the practitioner, through direct face-to-face contact, video-conferencing, or telephone, communicates treatment needs, assessments, and treatment information to external health care providers and facilitates appropriate linkages with other health care professionals, including transitions into or from higher levels of care or institutional settings. CCC also includes treatment planning and plan of care implementation activities that are separate from the diagnostic assessment service, when the clinician and client are meeting face-to-face or through video-conference. The Clinical Care Coordinator is responsible for ensuring that the client is at the appropriate LOC. If the client fails to make progress or has met all of their treatment goals, the Clinical Care Coordinator shall ensure timely assessment and transfer to a more appropriate LOC. The CCC service must be documented in an encounter note that indicates the intended purpose of that particular service, the actions taken, and the result(s) achieved. CCC shall be provided in certified SUD treatment programs or community settings. Qualified Practitioners of Clinical Care Coordination (CCC) are: Physicians; Psychologists; LICSWs; LGSWs; APRNs; LMFTs; RNs; LISWs; LPCs; PAs; Psychology Associates; and LGPCs. SOURCE: Final Rulemaking published at 62 DCR 12056 (September 4, 2015); as amended by Final Rulemaking published at 67 DCR 011585 (October 9, 2020); as amended by Final Rulemaking 68 DCR 012400 (November 26, 2021). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 6340