Regulation detail

29-5217

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29-5217 FUNCTIONAL FAMILY 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
OUTPATIENT (60%)
Plain-English summary

This regulation defines Functional Family Therapy (FFT) as a short-term, family-based therapeutic intervention for youth ages 11–18 with moderate to serious behavioral problems, externalizing behaviors, or placement disruption risk. It specifies that FFT must be billed in 15-minute increments, delivered per Chapter 34 of Title 22-A DCMR, and cannot be billed on the same day as certain other services or while a consumer is enrolled in ACT (unless authorized). Operators must ensure proper billing practices and service coordination to remain compliant.

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Regulation text
5217 FUNCTIONAL FAMILY THERAPY

5217.1 Functional Family Therapy (“FFT”) is a short-term, family-based therapeutic 
intervention for youth ages eleven (11) to eighteen (18) who:

Have a documented history of moderate to serious behavioral problems; 

Exhibit significant externalizing behavior which impairs functioning in at least one (1) area (e.g., school or home); or 

Are at risk of a disruption in placement. 

5217.2 FFT shall:

Be billed in fifteen (15) minute increments; and, 

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

5217.3 FFT shall not be billed on the same day as Rehabilitation Day Services, IDT, MST, CBI, TF-CBT, or TST. FFT shall not be billed while a consumer is enrolled in ACT, unless otherwise authorized.

SOURCE: 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 § 5217