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29-5215

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29-5215 TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY

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
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Plain-English summary

This regulation defines Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) as a psychotherapeutic intervention for individuals ages 4–18 addressing trauma-related emotional and behavioral difficulties. It establishes billing requirements (15-minute units), requires delivery in accordance with Title 22-A DCMR Chapter 34, and sets restrictions on same-day billing with other services such as Counseling/Therapy, IDT, FFT, ACT, TST, and CPP. Operators must ensure TF-CBT is not billed concurrently with prohibited service combinations.

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Regulation text
5215 TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY

5215.1 Trauma-Focused Cognitive Behavioral Therapy (“TF-CBT”) is a psychotherapeutic intervention for individuals ages four (4) to eighteen (18), designed to address significant emotional and behavioral difficulties related to traumatic life events. 

5215.2 TF-CBT services shall: 

(a) Be billed in fifteen (15) minute units; and,

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

5215.3 TF-CBT shall not be billed on the same day as Counseling/Therapy, IDT, or FFT. TF-CBT shall not be billed while a consumer is enrolled in ACT, unless otherwise authorized. While enrolled in TF-CBT, TST and CPP shall not be billed.

SOURCE: Final Rulemaking published at 69 DCR 012836 (October 21, 2022).

District of Columbia Municipal Regulations

 Public Welfare
29 DCMR § 5215