This regulation governs Medication Management services within DC's Mental Health Rehabilitation Services (MHRS) system, specifying billing rules (per occurrence, not same-day as IDT, restricted during ACT enrollment), permissible service settings (provider site, home, or community), and qualified providers (Psychiatrists, APRNs, PAs, RNs, LPNs with noted limitations). Operators must ensure compliance with Chapter 34 of Title 22-A DCMR for delivery standards.
View official source5203 MEDICATION MANAGEMENT Medication Management services shall: Be billed per occurrence; Not be billed on the same day as IDT; Not be billed while a consumer is enrolled in ACT, unless the service is rendered by another MHRS provider and is either: During the first thirty (30) calendar days after enrollment into ACT or within thirty (30) calendar days prior to disenrollment from ACT; or Otherwise authorized by DBH; and Be provided in a DBH-certified MHRS provider’s service site or home or community settings by Psychiatrists or Advanced Practice Registered Nurses. Physician Assistants, Registered Nurses, and Licensed Practical Nurses may provide all Medication Management services except for diagnostic services. Medication Management services shall be delivered in accordance with the requirements set forth in Chapter 34 of Title 22-A DCMR. SOURCE: Final Rulemaking published at 49 DCR 4860 (May 24, 2002); as amended by Final Rulemaking published at 69 DCR 012836 (October 21, 2022); as amended by Final Rulemaking published at 72 DCR 013719 (December 5, 2025). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 5203