D.C. Mun. Regs. tit. 29, r. 29-7407
The Department will deploy an HSS enrollment process for individuals determined eligible for the PSH program through the CAHP system prior to the start of the HSS benefit. This section applies to individuals who are receiving services from a PSH provider.
This HSS benefit enrollment shall include the steps described at §§ 7407.3 through §§ 7407.14.
The Department shall confirm the individual is receiving PSH services. The Department shall compile a list of all individuals enrolled in the PSH program (PSH Program Participant List). This list shall indicate the PSH provider and Medicaid enrollment status for each individual included.
The Department shall update and finalize the PSH Program Participant List with information presented by the PSH provider, through correspondence with each PSH provider included on this list.
After the PSH Program Participant list is confirmed, the Department shall contact each consumer on the PSH Program Participant List to select a time to conduct a functional assessment.
The Department shall establish a mechanism to conduct assessments with PSH consumers outside of standard business hours or on a limited ad hoc basis to accommodate PSH consumers that are only available to meet in the evenings or on weekends, or in instances when pre-scheduling an assessment time is challenging.
After a time for conducting the functional assessment and person-centered service plan has been determined, the Department shall:
When needed, the Department will work closely with the PSH consumer's PSH provider and other trusted entities to complete the person-centered service plan.
The Department may use telehealth (e.g., telephone or video meeting) to meet with the PSH consumer, and with the PSH consumer's consent, this may include their current service provider or a trusted support person.
After the Department completes the functional assessment with the PSH consumer and updates the PSH consumer's person-centered service plan, as needed, the PSH consumer may receive HSS services and be considered an HSS individual.
The Department shall support the HSS individual's choice to continue to receive services from their existing PSH provider, if that entity is also a HSS provider, or to select a new HHS provider. The Department shall provide HSS individuals with a list of providers certified to provide HSS. Information offered for each HSS provider shall include information listed at §§ 7406.11.
If the HSS individual selects an HSS provider that is also the current PSH provider, the Department shall confirm that the HSS individual is linked to the HSS provider in the Department's case note system.
If the HSS individual selects an HSS provider that is not the current PSH provider, the Department shall notify the HSS individual's current PSH provider and newly selected HSS provider of the choice made, confirm the individual's transition plan with their current PSH provider and new HSS provider, and then notate the individual's chosen HSS provider and transition date in the Department's case note system.
If the HSS individual chooses to receive services from an HSS provider that is different than their current provider, the current provider shall develop a transition plan that supports the individual's successful transition to the new HSS provider.
An HHS individual's transition date from one HSS provider to another HSS provider shall be the first day of the month following the date in which the individual's request to transition is received by the Department.
The HSS provider shall continue to deliver services to the HSS individual, if the HSS provider was already previously delivering services to the individual as a PSH provider. If the HSS provider has no immediate historical relationship with the HSS individual as a PSH provider, the HSS provider shall initiate services to their newly enrolled HSS individual.
D.C. Mun. Regs. tit. 29, r. 29-7407