Regulation detail

29-5207

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29-5207 REHABILITATION DAY SERVICES

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 (60%)
Plain-English summary

This regulation defines Rehabilitation Day Services under DC Medicaid, specifying that services must include symptom self-management education, identification of rehabilitation preferences, goal-setting, and skills development. Services are billed in one-hour units with a maximum of six units per day, require prior authorization, and must comply with Title 22-A DCMR Chapter 34 standards. Billing is prohibited while a consumer is enrolled in Assertive Community Treatment (ACT) or on the same day as certain other Medicaid-covered day treatment or community support services.

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Regulation text
5207 REHABILITATION DAY SERVICES

5207.1 Rehabilitation Day Services shall include:

Education on self-management of symptoms, medications and side effects;

Identification of rehabilitation preferences;

Setting rehabilitation goals; and 

(d) Skills teaching and development.

5207.2 Rehabilitation Day Services shall: 

Be billed in one (1) hour units. A maximum of six (6) units may be billed each day;

Require prior authorization; and

Be delivered in accordance with the requirements set forth in Chapter 34 of Title 22-A DCMR.

5207.3 Rehabilitation Day Services shall not be billed while a consumer is enrolled in ACT, unless otherwise authorized by DBH. Rehabilitation Day Services shall not be billed on the same day as IDT, FFT, MST, CBI, Trauma Recovery and Empowerment Services, TST, Clubhouse, group Community Support, or other Medicaid covered day treatment services.

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 § 5207