D.C. Mun. Regs. tit. 29, r. 29-119

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

Rule 29-119 - PAYMENT FOR REHABILITATION SERVICES

119.1

The Rehabilitation Services Administration shall pay only for services that are:

(a) Required to complete the assessment or evaluation process;

(b) Identified on the person's Individualized Plan for Employment (IPE) or Independent Living Plan (ILP);

(c) Preauthorized and approved by the Rehabilitation Services Administration through a signed purchase order or other authorizing document, pursuant to the D.C. Procurement Practices Reform Act of 2010 (D.C. Official Code §§ 2-351.01 et seq.) and procedures;

(d) Determined satisfactory based upon the Rehabilitation Services Administration's evaluation of the services; and

(e) Not available through a comparable service or benefit pursuant to section 114 of this chapter.

119.2

The Rehabilitation Services Administration shall pay only the portion of the cost of services identified as the responsibility of the Rehabilitation Services Administration in the person's IPE or ILP, and shall not pay costs that have been designated as the client's financial responsibility in accordance with 34 C.F.R. § 361.54.

119.3

[Repealed].

119.4

[Repealed].

119.5

[Repealed].

119.6

Each provider of services shall meet the requirements of the Americans with Disabilities Act (ADA) (42 U.S.C. §§ 12101 et seq.).

119.7

Each provider shall submit a detailed, completed, and signed invoice for services rendered, along with any required reports or information, in accordance with procedures established by the D.C. Government, before the Rehabilitation Services Administration may authorize payment to the provider or initiate a payment request. The Rehabilitation Services Administration may return to the provider each invoice not properly signed, completed, and accompanied by required reports.

119.8

A provider may not charge or accept payment from an individual client of the Rehabilitation Services Administration, the person's family, or a third party for authorized services, unless the amount of the person's financial responsibility to the provider has been:

(a) Preauthorized by the Rehabilitation Services Administration;

(b) Agreed to by the person in writing; and

(c) Incorporated into the Rehabilitation Services Administration's written authorization for services to the provider.

119.9

Consistent with the scope of appropriate vocational rehabilitation services described in subsection 113.2 and the definitions set forth in subsection 199.1, the Rehabilitation Services Administration shall pay for authorized services at a rate not higher than the provider's customary charge for such services.

119.10

The Rehabilitation Services Administration shall pay for all authorized services in in a manner consistent with the Procurement Practices Reform Act (D.C. Official Code §§ 2-351.01 et seq.). Reimbursement rates shall be posted on a fee schedule available at www.dds.dc.gov . The Rehabilitation Services Administration shall publish notice in the D.C. Register which reflects any change in the reimbursement rate(s) at least thirty (30) days before a change is made to the rate.

119.11

Each provider shall be subject to the administrative procedures set forth in Chapter 1 of Title 29 DCMR; to any provider certification standards established by the Department on Disability Services (DDS); and to all policies and procedures promulgated by DDS that are applicable to providers during the provider's participation in the vocational rehabilitation services program.

119.12

[Repealed].

119.13

[Repealed].

D.C. Mun. Regs. tit. 29, r. 29-119

Final Rulemaking published at 50 DCR 6189 (August 1, 2003); as amended by Final Rulemaking published at 54 DCR 6020 (June 22, 2007); amended by Final Rulemaking published at 62 DCR 11854 (8/28/2015); Final Rulemaking published at 68 DCR 12929 (12/10/2021)