Regulation detail

22-A6402

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22-A6402 REIMBURSEMENT RATE FOR CLIENTS WHO ARE DEAF OR HARD-OF-HEARING

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
SUD_IOP (60%) SUD_RESIDENTIAL (80%)
Plain-English summary

This regulation establishes reimbursement rates for local-only substance use services provided to clients who are deaf or hard-of-hearing, covering Multi-systemic Therapy for Transition Age Youth (ages 21–24), Residential Treatment Room and Board (including women with children), and Environmental Stability/Supported Housing. Rates are set per unit, per diem, or per month as specified in the table, and future rate changes must be published via Public Notice in the D.C. Register with opportunity for comment.

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Regulation text
6402 REIMBURSEMENT RATE FOR CLIENTS WHO ARE DEAF OR HARD-OF-HEARING

6402.1 Reimbursement for the local-only substance use services provided under Title 22-A DCMR Chapter 63, which include: (a) Multi-systemic Therapy for Transition Age Youth and (b) Environmental Stability, as well as Chapter 63-adjacent (c) Residential Room and Board provided to clients who are deaf or hard-of-hearing are set forth in the table below. The Department shall publish all future updates to these codes and rates through a Public Notice in the D.C. Register, which provides an opportunity for meaningful comment. The Notice shall describe the type of change, the reason for the change, the effective date of the change, and the new local only reimbursement rate. 

SERVICE CODE RATE per
UNIT ($) UNIT Multi-systemic Therapy for Transition Age Youth (TAY) (ACRA) (ages 21 – 24) H2033HFHK 77.52 15 min. Residential Treatment, Room & Board H0043HK 98.42 Per diem Residential Treatment, Room & Board, Woman w/1 child H0043UNHK 283.50 Per diem Residential Treatment, Room & Board, Woman w/2 children H0043UPHK 290.25 Per diem Residential Treatment, Room & Board, Woman w/3 children H0043UQHK 297.00 Per diem Residential Treatment, Room & Board - Women w/4 or more children H0043URHK 303.75 Per diem Environmental Stability, Supported Housing, Individual H0044HFHK 849.00 Per month Environmental Stability, Supported Housing, Woman w/children H0044HFUNHK 1000.00 Per month 

SOURCE: Final Rulemaking published at 63 DCR 6936 (May 6, 2016); as amended by Final Rulemaking published at 67 DCR 11430 (October 2, 2020). 

District of Columbia Municipal Regulations

 Mental Health
22-A DCMR § 6402