D.C. Mun. Regs. r. 22-A3423
Current through Register Vol. 71, No. 24, June 14, 2024
Rule 22-A3423 - REHABILITATION DAY SERVICES3423.1 Rehabilitation Day Services is a structured, clinical program intended to develop skills and foster social role integration through a range of social, psycho-educational, behavioral, and cognitive mental health interventions. Rehabilitation Day Services:
(a) Are curriculum-driven and psycho-educational and assist the consumer in the retention or restoration of independent and community living, socialization, and adaptive skills;(b) Include cognitive-behavioral interventions and diagnostic, psychiatric, rehabilitative, psychosocial, counseling, and adjunctive treatment; and(c) Are offered most often in group settings, but may be provided individually.3423.2 Rehabilitation Day Services shall:
(a) Be founded on the principles of consumer choice and the active involvement of each consumer in their mental health recovery;(b) Provide both formal and informal structures through which consumers can influence and shape service development;(c) Facilitate the development of a consumer's independent living and social skills, including the ability to make decisions regarding self-care, management of illness, life, work, and community participation;(d) Promote the use of resources to integrate the consumer into the community; and(e) Include education on self- management of symptoms, medications and side effects, the identification of rehabilitation preferences, the setting of rehabilitation goals, and skills teaching and development.3423.3 Each consumer shall have a person-centered plan that addresses the consumer's needs and progress toward achievement of Rehabilitation Day Services treatment goals.
3423.4 Each Rehabilitation Day Services provider shall provide adequate space, equipment, and supplies to ensure that services can be provided effectively. Rehabilitation Day Services program space and furnishings shall be separate and distinct from other services offered within the same service site(s).
3423.5 Each Rehabilitation Day Services provider shall have policies and procedures included in its Service Specific Policies addressing the provision of Rehabilitation Day Services ("Rehabilitation Day Services Organizational Plan") which includes:
(a) A description of the particular rehabilitation models utilized, types of intervention practiced, and typical daily curriculum and schedule; and(b) A description of the staffing pattern, including a staffing plan to ensure that the required staff-to-consumer ratios are maintained, and a plan for coverage during unplanned staff absences.3423.6 Each Rehabilitation Day Services provider shall have a minimum of one (1) fulltime equivalent staff for every ten (10) consumers based on average daily attendance.
3423.7 At least one (1) independently licensed qualified practitioner shall be present on site at all times.
3423.8 Each Rehabilitation Day Services provider shall have a clinical supervisor or director who is an independently licensed qualified practitioner on site at least thirty (30) hours per week.
3423.9 Each consumer shall participate in at least three (3) hours of Rehabilitation Day Services per day, excluding adequate time for breaks and administrative functions, for the services to be reimbursable.
3423.10 Rehabilitation Day Services in excess of ninety (90) units within a twelve- month (12-month) period shall require prior authorization from the Department. Each subsequent authorization shall not exceed ninety (90) units within a twelve- month (12-month) period.
3423.11 Rehabilitation Day Services shall not be billed:
(a) On the same day as: (1) Group Community Support;(7) Psychosocial Rehabilitation Clubhouse; or (b) During: (1) A Counseling encounter; or(2) An Individual Community Support encounter.3423.12 Rehabilitation Day Services shall only be provided at an MHRS provider's service site.
3423.13 The following are qualified practitioners of Rehabilitation Day Services:
(k) Psychology Associates; and3423.14 Credentialed staff shall be permitted to provide Rehabilitation Day Services under the supervision of an independently licensed qualified practitioner.
D.C. Mun. Regs. r. 22-A3423
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, 3482 (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 ).