D.C. Mun. Regs. r. 22-A3421
Current through Register Vol. 71, No. 24, June 14, 2024
Rule 22-A3421 - COMMUNITY SUPPORT3421.1 Community Support services are rehabilitation and environmental supports considered essential to assist the consumer in achieving rehabilitation and recovery goals that focus on building and maintaining a therapeutic relationship with the consumer.
3421.2 Community Support services include but are not limited to:
(a) Participation in the development and implementation of a consumer's Plan of Care;(b) Assistance and support for the consumer in stress or situations;(c) Mental health education, support, and consultation to consumers' families and support systems directed exclusively to the well-being and benefit of the consumer;(d) Individual mental health intervention for the development of interpersonal and community coping skills, including adapting to home, school, and work environments;(e) Assistance to the consumer in symptom self- monitoring and self-management to identify and minimize the negative effects of psychiatric symptoms, which interfere with the consumer's daily living, financial management, personal development, or school or work performance;(f) Assistance to the consumer in increasing social support skills and networks that ameliorate life stresses resulting from the consumer's mental illness or emotional disturbance and which are necessary to enable and maintain the consumer's independent living;(g) Development of strategies and supportive mental health intervention to avoid out-of-home placement for adults, children, and youth and to build stronger family support skills and knowledge of the adult's, child's, or youth's strengths and limitations;(h) Development of mental health relapse prevention strategies and plans; and(i) Assistance with coordination of any substance use disorders, co-occurring disorders, and primary care needs.3421.3 Community Support services may be provided by a team of staff that is responsible for an assigned group of consumers, or by staff who are individually responsible for assigned consumers.
3421.4 The Community Support provider shall maintain a staff-to-consumer ratio of no less than one (1) staff person for every twenty (20) consumers for children and youth, and one (1) staff person for every forty (40) consumers for adults.
3421.5 Community Support services provided to children and youth shall include coordination with family and significant others and with other systems of care, such as education, managed health plans (including Medicaid managed care plans), juvenile justice, and children's protective services, when appropriate to treatment and recovery needs.
3421.6 Community Support services provided in excess of two hundred (200) units within one hundred and eighty (180) calendar days require prior authorization from the Department. Each subsequent authorization shall not exceed two hundred (200) units within a one hundred and eighty (180) calendar daytime period.
3421.7 Community Support shall not be billed on the same day as ACT.
3421.8 Individual Community Support shall not be billed during a Rehabilitation Day Services encounter.
3421.9 Group Community Support shall not be billed on the same day as Rehabilitation Day Services.
3421.10 Community Support services shall be provided:
(a) At the MHRS provider's service site;(b) In natural settings, including the consumer's home or community settings; or(c) In a residential facility of sixteen (16) beds or less unless otherwise stated by the Department.3421.11 Subsections 3421.3 through 3421.9 shall not apply to Therapeutic Supported Employment services, as defined in 22-A DCMR Chapter 37, which are provided as Community Support services. Therapeutic Supported Employment services are reimbursed pursuant to any applicable authorization requirements and billing limitations set forth in 22-A DCMR Chapter 37.
3421.12 The following are qualified practitioners of Community Support:
(k) Psychology Associates; and3421.13 Credentialed staff shall be permitted to provide Community Support under the supervision of an independently licensed qualified practitioner.
D.C. Mun. Regs. r. 22-A3421
Final Rulemaking published at 48 DCR 10297 (November 9, 2001); as amended by Final Rulemaking published at 51 DCR 9308 (October 1, 2004); as amended by Final Rulemaking published at 52 DCR 5682 (June 17, 2005); as amended by Notice of Emergency and Proposed Rulemaking published at 58 DCR 1482 (February 18, 2011)[EXPIRED]; as amended by Notice of Final Rulemaking published at 58 DCR 3476, 3479 (April 22, 2011); amended by Final Rulemaking published at 67 DCR 10674 (9/4/2020); amended by Final Rulemaking published at 68 DCR 012400 (11/26/2021) Authority: The Director of the Department of Mental Health (Department), pursuant to the authority set forth in sections 104 and 105 of the Department of Mental Health Establishment Amendment Act of 2001, effective December 18, 2001 (D.C. Law 14-56; D.C. Official Code § 7-1131.04 and 7-1131.05 ).