This Medicaid billing regulation establishes reimbursement rules for non-clinical recovery support services for individuals with substance use disorders, effective January 1, 2020. It defers to Chapter 63 of Title 22-A DCMR for eligible services, beneficiary criteria, and provider certification requirements. Qualified staff include certified recovery coaches, certified peer specialists, and other authorized providers enrolled as recovery support service providers.
View official source8606 PROGRAM SERVICES: RECOVERY SUPPORT SERVICES 8606.1 Recovery support services are non-clinical services and supports designed to support and maintain ongoing recovery from a substance use disorder (SUD). Services under this section shall become effective January 1, 2020. 8606.2 Medicaid reimbursable recovery support services shall include services set forth under Chapter 63 of Title 22-A DCMR. 8606.3 Medicaid beneficiaries eligible to receive recovery support services shall meet criteria set forth in Chapter 63 of Title 22-A DCMR. 8606.4 Recovery support services shall be furnished by Medicaid-enrolled providers certified as recovery support service providers in accordance with Chapter 63 of Title 22-A DCMR. 8606.5 Recovery support provider qualified staff include: Certified recovery coaches; Certified peer specialists; and Other qualified providers authorized under Chapter 63 of Title 22-A DCMR. SOURCE: Final Rulemaking published at 68 DCR 5406 (May 21, 2021). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 8606