This regulation defines Motivational Enhancement Therapy–Cognitive Behavioral Therapy (MET-CBT) as a short-term, Medicaid-reimbursable substance use intervention for children and youth, consisting of two individual MET sessions (60+ minutes each) and three group CBT sessions (75+ minutes each). Each session is billed separately on a per-occurrence basis and does not require prior authorization. Delivery must comply with the standards set forth in Chapter 63 of Title 22-A DCMR.
View official source9103 MOTIVATIONAL ENHANCEMENT THERAPY-COGNITIVE BEHAVIORAL THERAPY 9103.1 Motivational Enhancement Therapy–Cognitive Behavioral Therapy (MET-CBT) is a short-term intervention designed for children/youth to increase their motivation to change a substance use behavior and the underlying thoughts or feelings that trigger maladaptive substance use behaviors. 9103.2 MET-CBT shall consist of: Two (2) sessions of individual Motivational Enhancement Therapy (MET), each lasting at least sixty (60) minutes; and Three (3) sessions of group Cognitive Behavioral Therapy (CBT), each lasting at least seventy-five (75) minutes. 9103.3 Each MET and CBT session shall be billed separately, on a per-occurrence basis. 9103.4 MET-CBT shall: Not require prior authorization; and (b) Be delivered in accordance with the requirements set forth in Chapter 63 of Title 22-A DCMR. SOURCE: Final Rulemaking published at 59 DCR 11144 (September 28, 2012); as amended by Final Rulemaking published at 63 DCR 11655 (September 23, 2016); as amended by Final Rulemaking published at 72 DCR 013719 (December 5, 2025). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 9103