D.C. Mun. Regs. tit. 22, r. 22-A3435

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-A3435 - NON-REIMBURSABLE SERVICES

3435.1 Services not covered as MHRS include:

(a) Room and board residential costs;

(b) Inpatient hospital services, including hospital, nursing facility, intermediate care facility for individuals with intellectual disabilities, and institutions for mental diseases;

(c) Transportation services;

(d) Educational, vocational, and job training services;

(e) Services rendered by parents or other family members;

(f) Social or recreational services;

(g) Screening and prevention services (other than those provided under Early and Periodic Screening, Diagnosis, and Treatment requirements);

(h) Services that are not medically necessary;

(i) Services that are not provided and documented in accordance with these certification standards;

(j) Services that are not behavioral health services as described in these rules; and

(k) Services furnished to persons other than the consumer, when those services are not directed primarily to the well-being and benefit of the consumer.

D.C. Mun. Regs. tit. 22, r. 22-A3435

Final Rulemaking published at 70 DCR 3050 (3/10/2023), effective date corrected to 4/7/2023, by Errata Notice published at 71 DCR 4474 (4/19/2024).