3420.1 Counseling services are individual, group, or family face-to- face services for symptom and behavior management; development, restoration, or enhancement of adaptive behaviors and skills; and enhancement or maintenance of daily living skills. Adaptive behaviors and skills, and daily living skills include those skills necessary to access community resources and support systems, interpersonal skills, and restoration or enhancement of the family unit and/or support of the family. Mental health support and consultation services provided to consumer's families are reimbursable only when such services and supports are directed exclusively to the well-being and benefit of the consumer.
3420.2 Counseling services provided in excess of one hundred sixty (160) units within a twelve-month (12- month) period require prior authorization from the Department.
3420.3 Counseling shall not be billed:
(b) During a Rehabilitation Day Services encounter.3420.4 Counseling shall be provided:
(a) At the MHRS provider's service site;(b) By telemedicine pursuant to 29 DCMR § 910;(c) In natural settings, including the consumer's home or community setting; or(d) A residential facility of sixteen (16) beds or less unless otherwise stated by the Department.3420.5 The following are qualified practitioners of Counseling:
(j) Psychology Associates.D.C. Mun. Regs. tit. 22, r. 22-A3420
Final Rulemaking published at 48 DCR 10297 (November 9, 2001); as amended by Final Rulemaking published at 51 DCR 9308 (October 1, 2004); as amended by Final Rulemaking published at 52 DCR 5682 (June 17, 2005); as amended by Notice of Emergency and Proposed Rulemaking published at 58 DCR 1482 (February 18, 2011)[EXPIRED]; as amended by Notice of Final Rulemaking published at 58 DCR 3476, 3479 (April 22, 2011); amended by Final Rulemaking published at 67 DCR 10674 (9/4/2020); amended by Final Rulemaking published at 68 DCR 012400 (11/26/2021) Authority: The Director of the Department of Mental Health (Department), pursuant to the authority set forth in sections 104 and 105 of the Department of Mental Health Establishment Amendment Act of 2001, effective December 18, 2001 (D.C. Law 14-56; D.C. Official Code § 7-1131.04 and 7-1131.05 ).