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29-9113

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29-9113 TREATMENT RECORDS AND ACCESS TO RECORDS

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
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HYPERLINK "http://www.westlaw.com/Find/Default.wl?rs=dfa1.0&vr=2.0&DB=DC-MR&DocName=LK%2829DCADCS809%29&FindType=l" 9113 TREATMENT RECORDS AND ACCESS TO RECORDS 

9113.1 In addition to the requirements set forth in Chapter 63 of Title 22-A DCMR, each ASURS treatment record shall contain sufficient information which readily identifies and supports Medicaid billing.

9113.2 Each ASURS provider shall establish procedures for safeguarding client information pursuant to 42 CFR 431.305 and 42 CFR Part 2, and shall ensure that, except as otherwise provided by federal or District law or regulations, the use or disclosure of client information shall be restricted to purposes related to the administration of the Medicaid Program, as set forth in 42 CFR 431.302.

9113.3 Each ASURS provider shall allow appropriate personnel of the U.S. Department of Health and Human Services, DHCF, DBH, and other authorized agents of the District government and the federal government full access to the records for auditing purposes.

9113.4 Each ASURS provider shall maintain all records, including financial records, medical and treatment records, and other documentation pertaining to costs, billings, payments received and made, and services provided, for six (6) years or until all audits are completed, whichever is longer.

9113.5 An ASURS provider that is a public entity shall also maintain all documentation pertaining to costs necessary to perform cost reconciliation in accordance with OMB Circular A-87.

SOURCE: Final Rulemaking published at 72 DCR 013719 (December 5, 2025).

District of Columbia Municipal Regulations

 Public Welfare
29 DCMR § 9113