Regulation detail

29-804

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29-804 REIMBURSEMENT

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
CMHC (80%) OUTPATIENT (60%)
Plain-English summary

This section establishes Medicaid reimbursement rules for Free-Standing Mental Health Clinic (FSMHC) services, requiring that payment follow a published fee schedule tied to approved treatment plans. Rate updates must comply with public notice and comment requirements, including publication in the D.C. Register at least 30 days before any change takes effect.

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Regulation text
804 REIMBURSEMENT

804.1 FSMHC services shall be reimbursed according to a fee schedule rate for FSMHC services included in an approved treatment plan, as described in Chapter 30 of Title 22-A DCMR. The Medicaid fee schedule shall be published on the Department of Health Care Finance's (DHCF) provider website at HYPERLINK "http://www.dc-medicaid.com" www.dc-medicaid.com .

804.2 Updates to the reimbursement rates for FSMHC services shall comply with the public notice and comment requirements set forth under § 988 of Chapter 9 of Title 29 DCMR.

804.3 A public notice of rate changes shall be published in the D.C. Register at least thirty (30) calendar days in advance of the change and shall include a link to the Medicaid fee schedule.

SOURCE: Final Rulemaking adopted at 29 DCR 264 (January 15, 1982); as amended by Final Rulemaking published at 67 DCR 11436 (October 2, 2020). 

District of Columbia Municipal Regulations

 Public Welfare
29 DCMR § 804