This chapter establishes Medicaid reimbursement standards for Mental Health Rehabilitative Services (MHRS) provided by DMH-certified MHRS providers in the District of Columbia. Providers must enter into provider agreements with the Medical Assistance Administration specifying services, operations, financial and legal requirements, and populations served. Providers must comply with DMH certification standards in 22-A DCMR Chapter 34, as well as all applicable District and federal Medicaid law. DMH must ensure clients have free choice among qualified providers.
View official source5200 GENERAL PROVISIONS 5200.1 The purpose of this Chapter is to establish standards governing Medicaid reimbursement for Mental Health Rehabilitative Services (MHRS) provided by MHRS providers certified by the Department of Mental Health (DMH). 5200.2 DMH and each MHRS provider shall enter into a provider agreement with the Department of Health, Medical Assistance Administration (MAA), for the provision of MHRS. 5200.3 The provider agreement shall specify the services to be provided, methods of operation, financial and legal requirements, and identification of the population to be served. 5200.4 Each MHRS provider shall comply with the certification standards set forth in Chapter 34 of Title 22A District of Columbia Municipal Regulations (DCMR). 5200.5 DMH and each MHRS provider shall comply with all applicable provisions of District and federal law and rules pertaining to Title XIX of the Social Security Act, and all District and federal law and rules applicable to the service or activity provided pursuant to these rules. 5200.6 In accordance with section 1902(a)(3) of the Social Security Act, DMH shall ensure that each client has free choice of qualified providers. SOURCE: Final Rulemaking published at 49 DCR 4860 (May 24, 2002); as amended by Final Rulemaking at 56 DCR 4098 (May 22, 2009).