Statutes, codes, and regulations
District Of Columbia Administrative Code
Title 22 - HEALTHSubtitle 22-A - MENTAL HEALTH
Chapter 22-A53 - TREATMENT PLANNING SERVICES PROVIDED TO DEPARTMENT OF BEHAVIORAL HEALTH CONSUMERS IN INSTITUTIONAL SETTINGS - DESCRIPTION AND REIMBURSEMENT
Rule 22-A5302 - REIMBURSEMENT RATE

D.C. Mun. Regs. r. 22-A5302

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Current through Register Vol. 71, No. 25, June 21, 2024
Rule 22-A5302 - REIMBURSEMENT RATE
5302.1

The rates for reimbursement are as set forth below:

CODE

SERVICE

RATE

UNIT

UNITS AUTHORIZED

H0032HK

Mental Health Service - Continuity of Care Treatment Planning, Institution for all MHRS consumers (MHS-CTPI)

$21.97

15 minutes

Up to 24 units within 180 days without prior authorization for continuity of care services

H0032

Mental Health Service - Discharge Treatment Planning, Institution for all consumers except those in ACT or CBI (MHS-DTPI)

$21.97

15 minutes

Based on medical necessity at time of authorization, for discharge planning.

H0046HT

Mental Health Service - Discharge Treatment Planning, Institution -ACT consumers (MHS-DTPI(ACT))

$38.04

15 minutes

Based on medical necessity at time of authorization for discharge planning.

H0046HTHA

Mental Health Service - Discharge Treatment Planning, Institution - CBI consumers (MHS-DTPI (CBI))

$35.74

15 minutes

Based on medical necessity at time of authorization for discharge planning.

H0037

Community Psychiatric Supportive Treatment Program - Rehab/Day Services (CPS - Rehab/Day)

$123.05

Per day, at least 3 hours

Based on medical necessity at time of authorization; only within sixty (60) days of discharge unless pursuant to court order.

D.C. Mun. Regs. r. 22-A5302

Final Rulemaking published at 61 DCR 3787 (April 11, 2014)
Authority: Sections 5113, 5115, 5117 and 5118 of the "Fiscal" Year 2014 Budget Support Act of 2013, effective December 24, 2013 (D.C. Law 20-0061; 60 DCR 12472 (September 6, 2013)).