D.C. Mun. Regs. tit. 22, r. 22-B3026
The following fees shall apply to alcohol and drug abuse services:
ALCOHOL AND DRUG ABUSE TREATMENT FEES
FULL CHARGES
TYPE OF SERVICE | DESCRIPTION | FEE |
Admission | Processing a client into the APRA treatment system. | $50.00 |
Evaluation | An in-depth medical (Comprehensive Level) psychological, and social evaluation, including a review of the client's medical, personal and family history, and the interpretation of appropriate tests for the purpose of developing a comprehensive therapeutic program. | $210.00 |
Outpatient Treatment (All Inclusive) | Physician-supervised drug-free ambulatory substance abuse treatment services, including individual counseling, group counseling, psychological vocational rehabilitation, educational and other related services during a single visit day. | $12.00 |
Methadone Maintenance Treatment Services (All Inclusive) | Physician-supervised services, including dosage administration, monitoring and adjustment per individual treatment session, group treatment session, and other medical and medically-supervised services provided during a single visit day. | $15.00 |
Laboratory Testing | Urine analysis and other required studies to document treatment compliance. | $20.00 |
Inpatient Care | The full range of room and board services attendant to a 24-hour stay in a detoxification facility. | $200.00 |
Residential-Short Stay | The full range of room and board services attendant to a 24-hour stay in a residential treatment facility where the average length of stay is thirty (30) days or less. | $250.00 |
Residential-Long Stay | The full range of room and board services attendant to a 24-hour stay in a non-medical, residential treatment facility where the average length of stay is six (6) months or more. | $65.00 |
Residential-Pregnant Women and Children | The full range of room and board services attendant to a 24-hour stay in a medical residential treatment facility for pregnant women and their children. | $275.00 |
Transitional Housing | The full range of room and board services attendant to a 24-hour stay in a halfway house facility. | $70.00 |
Aftercare Vocational Services | Comprehensive vocational assessment and skills training services. | $80.00 |
Aftercare Community-Based Services | Services provided at community-based centers to assist a client to transition out of formal treatment. | $15.00 |
The fees set forth in § 3026.1 shall not be billed to Medicaid or Medicare patients. Third-party insured patients shall be responsible for any applicable co-payment or deductible. Self-pay patients who qualify on the basis of income shall pay a percentage of these fees according to the sliding fee scale below.
ADDICTION, PREVENTION AND RECOVERY ADMINISTRATION
SLIDING FEE SCALE
(CHARGES BASED UPON INCOME AND FAMILY SIZE)
Family Size | A ($) | B ($) | C ($) | D ($) | E ($) | F ($) | G ($) | H ($) | I ($) | J ($) | K ($) | L ($) | M ($) |
1 | under 6,620 | 6,620 - 8,827 | 8,828 - 11,033 | 11,034 - 13,240 | 13,241 - 15,240 | 15,241 - 17,241 | 17,242 - 19,242 | 19,243 - 21,243 | 21,244 - 23,244 | 23,245 - 25,245 | 25,246 - 30,246 | 30,247 - 35,247 | over 35,248 |
2 | under 8,880 | 8,880 - 11,840 | 11,841 - 14,800 | 14,801 -17,760 | 17,761 - 19,760 | 19,761 - 21,761 | 21,762 - 23,762 | 23,763 - 25,763 | 25,764 - 27,764 | 27,765 - 29,765 | 29,766 - 34,766 | 34,767 - 39,767 | over 39,768 |
3 | under 11,140 | 11,140 - 14,853 | 14,854 - 18,567 | 18,568 - 22,280 | 22,281 - 24,280 | 24,281 - 26,281 | 26,282 - 28,282 | 28,283 - 30,283 | 30,284 - 32,284 | 32,285 - 34,285 | 34,286 - 39,286 | 39,287 - 44,287 | over 44,288 |
4 | under 13,400 | 13,400 - 17,867 | 17,868 - 22,333 | 22,334 - 26,800 | 26,801 - 28,800 | 28,801 - 30,801 | 30,802 - 32,802 | 32,803 - 34,803 | 34,804 - 36,804 | 36,805 - 38,805 | 38,806 - 43,806 | 43,807 - 48,807 | over 48,808 |
5 | under 15,660 | 15,660 - 20,880 | 20,881 - 26,100 | 26,101 -31,320 | 31,321 - 33,320 | 33,321 - 35,321 | 35,322 - 37,322 | 37,323 - 39,323 | 39,324 - 41,324 | 41,325 - 43,325 | 43,326 - 48,326 | 48,327 - 53,327 | over 53,328 |
6 | under 17,920 | 17,920 - 23,893 | 23,894 - 29,867 | 29,868 - 35,840 | 35,841 - 37,840 | 37,841 - 39,841 | 39,842 - 41,842 | 41,843 - 43,843 | 43,844 - 45,844 | 45,845 - 47,845 | 47,846 - 52,846 | 52,847 - 57,847 | over 57,848 |
7 | under 20,180 | 20,180 - 26,907 | 26,908 - 33,633 | 33,634 - 40,360 | 40,361 - 42,360 | 42,361 - 44,361 | 44,362 - 46,362 | 46,363 - 48,363 | 48,364 - 50,364 | 50,365 - 52,365 | 52,366 - 57,366 | 57,367 - 62,367 | over 62,368 |
8 | under 22,440 | 22,440 - 29,920 | 29,921 - 37,400 | 37,401 - 44,880 | 44,881 - 46,880 | 46,881 - 48,881 | 48,882 - 50,882 | 50,883 - 52,883 | 52,884 - 54,884 | 54,885 - 56,885 | 56,886 - 61,886 | 61,887 - 66,887 | over 66,888 |
9 | under 24,700 | 24,770 - 32,933 | 32,934 - 41,167 | 41,168 - 49,400 | 49,401 - 51,400 | 51,401 - 53,401 | 53,402 - 55,402 | 55,403 - 57,403 | 57,404 - 59,404 | 59,405 - 61,405 | 61,406 - 66,406 | 66,407 - 71,407 | over 71,408 |
10 | under 26,960 | 26,960 - 35,947 | 35,948 - 44,933 | 44,934 - 53,930 | 53,920 - 55,920 | 55,921 - 57,921 | 57,922 - 59,922 | 59,923 - 61,923 | 61,924 - 63,924 | 63,925 - 65,925 | 65,926 - 70,926 | 70,927 - 75,927 | over 75,928 |
ALCOHOL AND DRUG ABUSE SERVICES ADMINISTRATION
PER VISIT/PER PATIENT DAY
SLIDING FEE SCALE
(ACTUAL FEES BASED ON INCOME AND FAMILY SIZE)
CATEGORY (Ambulatory) | A ($) | B ($) | C ($) | D ($) | E ($) | F ($) | G ($) | H ($) | I ($) | J ($) | K ($) | L ($) | M ($) |
ADMISSION | 5 | 5 | 10 | 15 | 20 | 25 | 30 | 35 | 40 | 45 | 50 | 50 | 50 |
EVALUATION (COMPREHENSIVE LEVEL) | 5 | 21 | 42 | 63 | 84 | 105 | 126 | 147 | 168 | 189 | 210 | 210 | 210 |
OUTPATIENT (ALL INCLUSIVE EXCLUDING LAB) | 5 | 5 | 5 | 5 | 5 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
METHADONE MAINTENANCE (ALL INCLUSIVE) | 5 | 5 | 5 | 5 | 5 | 5 | 6 | 7 | 8 | 9 | 10 | 12 | 15 |
LABORATORY TESTING | 1 | 2 | 4 | 5 | 7 | 9 | 11 | 13 | 14 | 18 | 20 | 20 | 20 |
AFTERCARE AND VOCATIONAL | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 |
CATEGORY (24-HOUR) | A ($) | B ($) | C ($) | D ($) | E ($) | F ($) | G ($) | H ($) | I ($) | J ($) | K ($) | L ($) | M ($) |
INPATIENT (DETOX) | 5 | 10 | 15 | 23 | 33 | 38 | 56 | 68 | 90 | 113 | 135 | 175 | 200 |
RESIDENTIAL SHORT STAY | 5 | 5 | 10 | 15 | 20 | 35 | 55 | 80 | 125 | 160 | 200 | 225 | 250 |
RESIDENTIAL LONG STAY | 5 | 5 | 5 | 6 | 7 | 8 | 10 | 16 | 22 | 35 | 42 | 46 | 65 |
RESIDENTIAL PREGNANT WOMEN AND CHILDREN | 5 | 12 | 17 | 25 | 35 | 41 | 75 | 123 | 150 | 188 | 250 | 225 | 275 |
TRANSITIONAL HOUSING | 5 | 5 | 5 | 6 | 7 | 8 | 10 | 18 | 25 | 40 | 48 | 54 | 70 |
D.C. Mun. Regs. tit. 22, r. 22-B3026