D.C. Mun. Regs. tit. 22, r. 22-A5301

Current through Register Vol. 71, No. 49, December 6, 2024
Rule 22-A5301 - DESCRIPTION OF REIMBURSEABLE SERVICES
5301.1

Reimbursable "Mental Health Service - Continuity of Care Treatment Planning, Institution" services (MHS-CTPI) are services to assist consumers in institutional settings. MHS-CTPI is to be used for any mental health service not for discharge treatment planning or Rehab/Day purposes provided by an MHRS provider to any consumer, including those enrolled in Assertive Community Treatment (ACT) or Community-Based Intervention (CBI) services, in an institutional setting.

5301.2

In order to be eligible for reimbursement, MHS-CTPI shall only be provided by an MHRS provider through a mental health professional or credentialed worker to a Department consumer who is in an institutional setting listed in Subsection 5300.2.

5301.3

Mental Health Service - Discharge Treatment Planning, Institution (MHS - DTPI) is a service to develop a mental health service plan for treating a consumer after discharge from an institutional setting. It includes modifying goals, assessing progress, planning transitions, and addressing other needs, as appropriate.

5301.4

In order to be eligible for reimbursement, MHS-DTPI shall only be provided by an MHRS provider through a mental health professional or credentialed worker to a Department consumer who is in an institutional setting who is not enrolled in Assertive Community Treatment (ACT) or Community-Based Intervention (CBI).

5301.5

In order to be eligible for reimbursement, MHS-DTPI (ACT) shall be provided only by a member of an MHRS Assertive Community Treatment (ACT) team to a consumer who is enrolled in ACT services and preparing for discharge from the institution setting.

5301.6

In order to be eligible for reimbursement, MHS-DTPI (CBI) shall be provided only by a member of an MHRS Community-Based Intervention (CBI) Team, all levels, to a child or youth who is enrolled in CBI and preparing for discharge from the institutional setting.

5301.7

Community Psychiatric Supportive Treatment Program - Rehab/Day Services (CPS-Rehab/Day) is a day treatment program provided in the community designed to acclimate the consumer to community living.

5301.8

In order to be eligible for reimbursement, CPS-Rehab/Day Services shall only be provided by a certified MHRS Rehabilitation/Day Services provider.

5301.9

All services must be provided in accordance with Department policies regarding care to consumers to be eligible for reimbursement.

D.C. Mun. Regs. tit. 22, r. 22-A5301

Final Rulemaking published at 61 DCR 3787 (April 11, 2014)
Authority: Sections 5113, 5115, 5117 and 5118 of the "Fiscal" Year 2014 Budget Support Act of 2013, effective December 24, 2013 (D.C. Law 20-0061; 60 DCR 12472 (September 6, 2013)).