This regulation establishes eligibility requirements for receiving Assertive Community Treatment (ACT) or similar services billed under this Medicaid chapter, limiting coverage to Medicaid recipients who also meet the clinical criteria set forth in Chapter 63 of Title 22-A DCMR. Facility operators and billing entities must verify dual eligibility — Medicaid enrollment and compliance with the referenced clinical standards — before providing or billing for these services.
View official sourceHYPERLINK "http://www.westlaw.com/Find/Default.wl?rs=dfa1.0&vr=2.0&DB=DC-MR&DocName=LK%2829DCADCS809%29&FindType=l" 9112 ELIGIBILITY REQUIREMENTS 9112.1 Only persons who are Medicaid recipients and meet the requirements set forth in Chapter 63 of Title 22-A DCMR shall be eligible to receive ASURS billed under this Chapter. SOURCE: Final Rulemaking published at 72 DCR 013719 (December 5, 2025). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 9112