D.C. Mun. Regs. tit. 29, r. 29-7400
The mission of the Department of Human Services (Department) is to empower every District resident to reach their full potential by providing meaningful connections to work opportunities, economic assistance, and supportive services. The Economic Security Administration is the administration within the Department that is responsible for making eligibility determinations for federally and locally funded public assistance programs in the District, including Medicaid, the Supplemental Nutrition Assistance Program, and the Temporary Assistance for Needy Families program. The Family Services Administration is the administration within the Department that is responsible for providing homeless services such as shelter and homelessness prevention, to meet the needs of vulnerable adults and families to help reduce risk and promote self-sufficiency.
The purpose of this Chapter is to establish standards for the Housing Supportive Services (HSS) benefit, including eligibility criteria, service standards, HSS provider certification requirements, and which services shall be reimbursed through Medicaid.
HSS are Medicaid-reimbursable activities that include a range of flexible housing-related services and supports for adults at risk of or experiencing chronic homelessness and who have a disability or disabling condition that interferes with or limits their capacity to maintain housing stability.
Permanent supportive housing (PSH) programs provide services similar to HSS but are funded through the District's local budget for adults who are ineligible for Medicaid enrollment. PSH services are also available to children and youth residing in the home of an adult who is receiving the HSS benefit.
As provided in this Chapter, an individual is eligible to receive services through the HSS benefit if they are eligible for the District's PSH program and enrolled in the District's Medicaid program.
An HSS provider may also provide PSH services. Services and supports that do not qualify for HSS Medicaid reimbursement as described in this Chapter but that qualify as PSH services will generally be eligible for reimbursement by the Department through the PSH program, pursuant to the PSH program rules.
The HSS benefit described in this Chapter has been designed to comply with requirements established in federal home and community-based services regulations (42 CFR §§ 441.710) and clarified by informational bulletins published by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), Center for Medicaid and CHIP Services.
Each Department-certified HSS provider shall meet and adhere to the terms and conditions of its PSH Human Care Agreement (HCA) with the Department.
D.C. Mun. Regs. tit. 29, r. 29-7400