D.C. Mun. Regs. tit. 22, r. 22-B3025

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

Rule 22-B3025 - COMMISSION ON MENTAL HEALTH SERVICES FEES

3025.1

The following fees shall apply to mental health services:

Description of Service	Fee
Inpatient care	$225.71 per diem
Outpatient care
Clinic visit	56.36 per visit
Physician visit	79.67 per visit

3025.2

The fees in § 3025.1 shall be billed to Medicaid, Medicare and third party insured. Self-pay patients who qualify on the basis of income shall pay a percentage of those fees according to the sliding fee scale below:

Monthly Income	Charge Per Visit	Monthly Maximum
$ 0 to 830	$ 0	$ 0
831 to 1,040	5	17
1,041 to 1,250	10	33
1,251 to 1,460	15	50
1,461 to 1,670	20	67
1,671 to 1,880	25	83
1,881 to 2,090	30	100
2,091 to 2,300	35	117
2,301 to 2,510	40	133
2,511 to 2,720	45	150
2,721 to 2,930	50	167
2,931 to 3,140	55	183
3,141 to 3,350	60	200
3,351 to 3,560	65	217
3,561 to 3,770	70	233
3,771 to 3,980	75	250
3,981 to 4,190	Full	267
4,191 to 4,400	Full	283
4,401 to 4,610	Full	300
4,611 to 4,820	Full	317
4,821 to 5,030	Full	333
5,031 to 5,240	Full	350
5,241 to 5,450	Full	367
5,451 to 5,660	Full	383
5,661 to 5,870	Full	400
5,871 to 6,080	Full	417
6,081 to 6,290	Full	433
6,291 or more	Full	450

D.C. Mun. Regs. tit. 22, r. 22-B3025

Final Rulemaking published at 35 DCR 6026 (August 5, 1988)

AUTHORITY: The Authority for this section is D.C. Code, 2001 Ed. § 21 -586; and the Saint Elizabeth's Hospital and District of Columbia Mental Health Services Act §9, Pub. L. 98-621.