D.C. Mun. Regs. tit. 29, r. 29-6901

Current through Register Vol. 71, No. 44, November 1, 2024
Rule 29-6901 - PROGRAM SERVICES
6901.1

Beneficiaries eligible to receive Health Home services shall be Medicaid beneficiaries who meet the requirements set forth in 22-A DCMR § 2504.

6901.2

Health Home services include the following services, as set forth in 22-A DCMR § 2505, and further defined in 22-A DCMR §§ 2506 - 2511:

(a) Comprehensive Care Management;
(b) Care Coordination;
(c) Comprehensive Transitional Care;
(d) Health Promotion;
(e) Individual and Family Support Services; and
(f) Referral to Community and Social Support Services.
6901.3

Effective February 1, 2019, each Health Home provider shall provide at least one (1) Health Home service of any kind, as described in 22-A DCMR §§ 2506 - 2511 to the Health Home beneficiary, each month, in order to claim the per member per month payment set forth in § 6902.6.

6901.4

All services provided as described in § 6901 of this chapter, and in 22-A DCMR §§ 2500, et seq., shall meet quality standards or guidelines that adhere to applicable National Committee for Quality Assurance (NCQA) standards, as well as Centers for Medicare and Medicaid Services (CMS) and Department of Health Care Finance (DHCF) guidance related to quality improvement activities.

D.C. Mun. Regs. tit. 29, r. 29-6901

Final Rulemaking published at 65 DCR 7933 (7/5/2019)