D.C. Mun. Regs. tit. 29, r. 29-10700

Current through Register 71, No. 45, November 7, 2024

Rule 29-10700 - SUPPORTED EMPLOYMENT SERVICES FOR INDIVIDUALS WITH SUBSTANCE USE DISORDER

10700.1

Supported employment services for beneficiaries with a Substance Use Disorder (SUD) shall:

(a) Provide ongoing work-based vocational assessments, job development, job coaching, treatment team coordination, and vocational and therapeutic follow-along supports;

(b) Involve community-based employment, consistent with the strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice of the consumer;

(c) Provide services at various work sites; and

(d) Provide part-time and full-time job options that are:

(1) Diverse, competitive, and integrated with co-workers without disabilities;

(2) Based in business or employment settings that have permanent status rather than temporary or time-limited status; and

(3) Pay minimum wage, or greater, of the jurisdiction in which the job is located.

10700.2

Effective July 1, 2022, Medicaid reimbursable supported employment services for individuals with SUD shall be billed in fifteen (15) minute increments, and include the following, as defined in Chapter 37 of Title 22-A DCMR:

(a) Intake;

(b) Vocational Assessment;

(c) Individualized Work Plan Development;

(d) Treatment Team Coordination;

(e) Disclosure Counseling;

(f) Job Development;

(g) Job Coaching;

(h) Vocational Follow-Along Supports for the beneficiary and employer;

(i) Therapeutic Follow-Along Supports; and,

(j) Benefits Counseling.

10700.3

In accordance with the eligibility requirements set forth in Chapter 37 of Title 22-A DCMR, individuals eligible for supported employment services shall:

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

(b) Indicate an interest in employment;

(c) Have supported employment identified as a needed service on a current, person-centered plan of care that has been reviewed by the Department of Behavioral Health (DBH);

(d) Not be concurrently receiving Assertive Community Treatment (ACT) services, as defined in Chapter 34 of Title 22-A DCMR;

(e) Be receiving services in one of the following SUD levels of care, as defined in Chapter 63 of Title 22-A DCMR:

(1) Level: Opioid Treatment Program (OTP);

(2) Level 1: Outpatient;

(3) Level 2.1: Intensive Outpatient; or

(4) Level 2.5: Day Treatment;

(f) Be assessed as able to benefit from and meaningfully engage in SUD supported employment services; and

(g) Be determined by DBH to meet the needs-based criteria set forth in Chapter 37 of Title 22-A DCMR.

10700.4

Individuals shall be assessed for supported employment services by DBH.

10700.5

DBH shall conduct the needs-based assessment in accordance with the requirements set forth in Chapter 37 of Title 22-A DCMR and shall conduct a reassessment at least once every twelve (12) months, and as appropriate, based on changes in need.

10700.6

DBH shall be responsible for developing the person-centered plan of care, as identified in § 10700.3(c), in accordance with federal regulations under 43 CFR § 441.725 and requirements set forth in Chapter 37 of Title 22-A DCMR.

10700.7

DBH shall also assist the Medicaid beneficiary in identification and selection of a supported employment provider.

10700.8

Following review and approval of the assessment information and personcentered plan of care, DBH shall issue an authorization for the initiation of supported employment services by the beneficiary-selected supported employment provider, in accordance with the requirements set forth in Chapter 37 of Title 22-A DCMR.

10700.9

DBH shall inform the beneficiary of his or her eligibility for supported employment services.

10700.10

Supported employment providers shall be certified in accordance with the requirements set forth in Chapter 37 of Title 22-A DCMR.

10700.11

A supported employment provider shall develop an Individualized Work Plan for each Medicaid beneficiary receiving supported employment services, in accordance with the requirements set forth in Chapter 37 of Title 22-A DCMR.

10700.12

Medicaid reimbursement is not available for supported employment services provided to beneficiaries that reside in an institutional setting or any setting that is not in compliance with HCBS setting requirements consistent with 42 CFR § 441.301.

D.C. Mun. Regs. tit. 29, r. 29-10700

Final Rulemaking published at 69 DCR 12102 (10/7/2022)