This regulation establishes Medicaid reimbursement standards for the Trauma Recovery and Empowerment Model (TREM), a structured group therapy intervention for individuals who have survived trauma and have substance use disorders or mental health conditions. Eligible Medicaid beneficiaries must meet requirements under Title 22-A DCMR Chapters 34 or 63, and services must be delivered by DBH-certified TREM providers who have completed approved training. The regulation defines covered service components including empowerment skills, trauma processing, and skills building.
View official source8604 PROGRAM SERVICES: TRAUMA RECOVERY AND EMPOWERMENT MODEL 8604.1 The Trauma Recovery and Empowerment Model (TREM) is a structured group therapy intervention for individuals who have survived trauma and have substance use disorders or mental health conditions. 8604.2 Effective March 1, 2020, Medicaid beneficiaries who meet requirements set forth in Chapter 34 or Chapter 63 of Title 22-A DCMR shall be eligible to receive TREM services. 8604.3 Medicaid reimbursable TREM services shall include therapy sessions focused on: Empowerment, self-comfort, and accurate self-monitoring, as well as ways to establish safe physical and emotional boundaries; The trauma experience and its consequences; and Skills building, including emphases on communication style, decision-making, regulating overwhelming feelings, and establishing safer, more reciprocal relationships. 8604.4 TREM services shall be furnished by a TREM provider certified in accordance with the requirements set forth in Chapter 34 or Chapter 63 of Title 22-A DCMR. TREM provider staff must complete DBH-approved TREM training. SOURCE: Final Rulemaking published at 68 DCR 5406 (May 21, 2021). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 8604