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29-9103

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29-9103 MOTIVATIONAL ENHANCEMENT THERAPY-COGNITIVE BEHAVIORAL 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 (80%)
Plain-English summary

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.

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Regulation text
9103 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