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29-5219

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29-5219 MULTI-SYSTEMIC 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 governs Medicaid billing and authorization requirements for Multi-Systemic Therapy (MST), an intensive community-based program for youth ages 12–17 at risk of out-of-home placement. MST must be billed in 15-minute units, requires prior authorization, and must be delivered in accordance with Title 22-A DCMR Chapter 34. MST may not be billed on the same day as certain other services including Counseling/Therapy, IDT, Rehabilitation Day services, CBI, or FFT.

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Regulation text
5219 MULTI-SYSTEMIC THERAPY

5219.1 Multi-systemic Therapy (MST) is an intensive program for youth ages twelve (12) to seventeen (17) experiencing out of home placement.

5219.2 Multi-systemic Therapy shall: 

Be billed in fifteen (15) minute units; 

Require prior authorization; and
 
Be delivered in accordance with the requirements set forth in Chapter 34 of Title 22-A DCMR. 
 
5219.3 MST shall not be billed on the same day as Counseling/Therapy, IDT, Rehabilitation Day services, CBI, or FFT. 

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 § 5219