D.C. Mun. Regs. tit. 29, r. 4211
A home care agency seeking reimbursement for PCA services shall meet the conditions of participation for home health agencies set forth in 42 CFR part 484, and shall comply with the requirements set forth in the Health-Care and Community Residence Facility, Hospice, and Home Care Licensure Act of 1983, effective February 24, 1984 (D.C. Law 5-48; D.C. Official Code §§ 44-501et seq.)
For dates of services beginning November 3 through December 31, 2015, each Provider shall be reimbursed five dollars ($5.00) per unit of service for allowable services in accordance with the Patient Protection and Affordable Care Act of 2010, approved March 23, 2010 ( Pub. L. No. 111-148, 124 Stat. 119), as amended, and supplemented by the Health Care and Education Reconciliation Act of 2010, approved March 30, 2010 ( Pub. L. No. 111-152, 124 Stat. 1029) and the District of Columbia Accrued Sick and Safe Leave Act of 2008, effective May 13, 2008 (D.C. Law 17-152; D.C. Official Code §§ 32-131.01et seq.) The reimbursement rate includes administrative costs following the recent review of the FY 2013 Home Health Agencies cost reports, of which no less than three dollars and forty-five cents ($3.45) shall be paid to the personal care aide to comply with the Living Wage Act of 2006, effective June 8, 2006 (D.C. Law 16-118; D.C. Official Code §§ 2-220.01et seq. (2012 Repl.)).
For dates of services beginning January 1, 2016, each provider shall be reimbursed five dollars and two cents ($5.02) per unit of service for allowable services as authorized in the approved plan of care, of which no less than three dollars and forty-six cents ($3.46) per fifteen (15) minutes for services rendered by a PCA, shall be paid to the PCA to comply with the Living Wage Act of 2006, effective June 8, 2006 (D.C. Law 16-118; D.C. Official Code §§ 2-220.01et seq. (2012 Repl.)).
For dates of services beginning January 1, 2017, each provider shall be reimbursed five dollars and five cents ($5.05) per unit of service for allowable services as authorized in the approved plan of care, of which no less than three dollars and forty- nine cents ($3.49) per fifteen (15) minutes for services rendered by a PCA, shall be paid to the PCA to comply with the Living Wage Act of 2006, effective June 8, 2006 (D.C. Law 16-118; D.C. Official Code §§ 2-220.01et seq. (2012 Repl.)).
A unit of service for PCA services shall be fifteen (15) minutes spent performing allowable tasks.
Reimbursement for PCA services under the Waiver shall not exceed sixteen (16) hours of service per day per beneficiary.
A provider of waiver services shall not bill the beneficiary or any member of the beneficiary's family for PCA services.
DHCF shall not reimburse a provider of PCA services for services provided by the waiver beneficiary's spouse, or other legally responsible relative or court-appointed guardian with the exception of parents of adult children.
D.C. Mun. Regs. tit. 29, r. 4211