This section establishes the general provisions governing DC's Medicaid Section 1115 Behavioral Health Transformation Demonstration Program, authorized by CMS under Section 1115 of the Social Security Act. It sets the effective period (January 1, 2020 through December 31, 2024), notes that most expenditure authority expired December 31, 2021 (except services under § 8608), and requires DHCF to publish and maintain provider guidance and comply with CMS Special Terms and Conditions for evaluation and monitoring. Operators participating in this demonstration program must adhere to DHCF-published guidance and are subject to program amendments, extensions, or termination per CMS requirements.
View official source8600 GENERAL PROVISIONS 8600.1 The purpose of this chapter is to establish standards governing the administration of the Medicaid Section 1115 Behavioral Health Transformation Demonstration Program (demonstration program) as authorized by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) under Section 1115 of the Social Security Act (SSA). 8600.2 Services and requirements set forth in this chapter shall be effective January 1, 2020 through December 31, 2024, in accordance with the Special Terms and Conditions (STCs), as set forth by CMS, in its approval of the demonstration program. The STCs are available on the Department of Health Care Finance’s (DHCF) website at HYPERLINK "http://www.dhcf.dc.gov/1115-waiver-initiative" https://dhcf.dc.gov/1115-waiver-initiative . 8600.3 Except for services identified in § 8608, expenditure authority under this demonstration program will expire on December 31, 2021. 8600.4 Medicaid services authorized under this chapter are subject to evaluation and monitoring requirements consistent with the STCs interpreted by DHCF via guidance published to the DHCF website at HYPERLINK "http://www.dhcf.dc.gov" www.dhcf.dc.gov . 8600.5 The demonstration program may be terminated by CMS, or withdrawn, extended, or amended by DHCF in accordance with the requirements set forth in the approved STCs. 8600.6 DHCF shall publish and maintain provider guidance that supports implementation of the demonstration program on the DHCF website at HYPERLINK "http://www.dhcf.dc.gov" www.dhcf.dc.gov . SOURCE: Final Rulemaking published at 68 DCR 5406 (May 21, 2021). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 8600