D.C. Mun. Regs. r. 22-A5200

Current through Register Vol. 71, No. 25, June 21, 2024
Rule 22-A5200 - FUNCTIONAL FAMILY THERAPY REIMBURSEMENT
5200.1

The Department of Health Care Finance has published rates for Medicaid-funded services under Title 22-A District of Columbia Municipal Regulations (DCMR) Chapter 34. Those rates are contained in the District of Columbia Medicaid fee schedule available online at www.dc-medicaid.com. The Department of Behavioral Health (Department) shall reimburse providers for Functional Family Therapy (FFT) services provided to non-Medicaid beneficiaries at the same rates as those contained in the District of Columbia Medicaid fee schedule.

5200.2

Reimbursement for the local-only FFT services are set forth in the table at subsection 5200.3. The Department shall update the FFT rate to reflect any future changes by publishing a Public Notice in the District of Columbia Register and providing an opportunity for meaningful comment before implementation. The Notice shall describe the type of change, the reason for the change, the effective date of the change, and the new local only reimbursement rate.

5200.3

The Functional Family Therapy rate is as set forth below:

SERVICE

CODE

RATE

UNIT

FFT

H2033HU

$51.96

15 minutes

5200.4

All updates to the service codes and rates will be included in the District of Columbia Medicaid fee schedule pursuant to the procedures established in Title 29 DCMR Section 988, by providing notice and an opportunity for comment.

D.C. Mun. Regs. r. 22-A5200

Notice of Emergency and Proposed Rulemaking published at 57 DCR 10226 (October 29, 2010)[EXPIRED]; Notice of Final Rulemaking published at 57 DCR 11960 (December 17, 2010); amended by amended by Final Rulemaking published at 70 DCR 3050 (3/10/2023)
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 ).