D.C. Mun. Regs. r. 22-A3710

Current through Register Vol. 71, No. 25, June 21, 2024

Rule 22-A3710 - SUD SUPPORTED EMPLOYMENT SERVICES ELIGIBILITY

3710.1

To be eligible for SUD Supported Employment services, a client shall:

(a) Be at least eighteen (18) years of age;

(b) Indicate an interest in employment as determined through the ongoing or comprehensive diagnostic assessment for the SUD treatment program;

(c) Not be receiving MHRS ACT services;

(d) Be receiving Medicaid- funded SUD services as described in 22-A DCMR § 6301.4 or locally- funded SUD services as described in 22-A DCMR § 6301.5 in one of the following Levels of Care:

(1) Level: OTP on an outpatient basis;

(2) Level 1: Outpatient;

(3) Level 2.1: Intensive Outpatient;

(4) Level 2.5: Day Treatment;

(e) Be assessed as being able to benefit from and meaningfully engage in SUD Supported Employment services;

(f) Have SUD Supported Employment identified as a needed service on a current, SUD person- centered Plan of Care that has been reviewed by the Department; and

(g) Be determined by the Department as eligible for Substance Use Disorder (SUD) Employment services after undergoing independent needs-based assessment pursuant to § 3711.3 that examines the following:

(1) Be assessed to have substance use needs, where an assessment using the American Society of Addiction Medicine (ASAM) Criteria indicates that the client meets at least ASAM Level 1.0, indicating the need for outpatient SUD treatment; and (2) Have at least one (1) of the following risk factors:

(A) Unable to sustain gainful employment for at least ninety (90) consecutive days as related to a history of SUD;

(B) Unable to obtain or maintain employment resulting from age or disability (physical or behavioral); or

(C) More than one instance of SUD treatment in the past two (2) years;

(D) Be at risk for deterioration of SUD as evidenced by one (1) or more of the following:

(i) Persistent or chronic risk factors such as social isolation due to a lack of family or social supports, poverty, criminal justice involvement, or homelessness;

(ii) Care for SUD requiring multiple provider types, including behavioral health, primary care, and long-term services and supports; or

(iii) A past psychiatric history with no significant functional improvement that cant be maintained without treatment and supports.

D.C. Mun. Regs. r. 22-A3710

Final Rulemaking published at 67 DCR 10775 (9/4/2020); amended by Final Rulemaking published at 69 DCR 11733 (9/30/2022); amended by Final Rulemaking published at 70 DCR 16660 (12/29/2023)