This regulation establishes Medicaid billing and delivery requirements for Intensive Care Coordination (ICC), a youth- and family-driven case management service for children and youth with behavioral health challenges. ICC is covered as Targeted Case Management under the Medicaid State Plan and must comply with 42 C.F.R. § 440.169(b) and Chapter 34 of Title 22-A DCMR. Providers must bill using a monthly unit, obtain prior authorization, and may not bill ICC on the same day as other case management or care coordination services unless specifically authorized.
View official source5218 INTENSIVE CARE COORDINATION 5218.1 Intensive Care Coordination (“ICC”) is a comprehensive, holistic, and youth and family-driven approach to case management activities for children and youth experiencing behavioral health challenges. 5218.2 ICC is covered as Targeted Case Management under the Medicaid State Plan and shall be delivered in accordance with 42 C.F.R. § 440.169(b). 5218.3 ICC shall: (a) Be billed using a monthly unit; (b) Require prior authorization; and (c) Be delivered in accordance with the requirements set forth in Chapter 34 of Title 22-A DCMR. 5218.4 ICC shall not be billed on the same day as other case management or care coordination services, including Clinical Care Coordination and Assertive Community Treatment, 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 § 5218