D.C. Mun. Regs. tit. 29, r. 29-121

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

Rule 29-121 - PAYMENT FOR DENTAL SERVICES, PRESCRIPTION GOODS, PRESCRIPTION DRUGS AND MEDICAL SUPPLIES

121.1

The Rehabilitation Services Administration shall pay for dental services for eligible person under the following circumstances:

(a) The dental condition is documented by a licensed and certified dental professional as:

(1) Necessary to render the person employable or required to prevent a serious physical illness; or

(2) A significant maxillofacial problem and/or disease of the gums that is a serious impediment to employment or may cause or aggravate specific health condition;

(b) Comparable benefits are not available in accordance with section 114;

(c) The dental consultant, who is not the treating dentist, has reviewed and approved the dental service to ensure that the service provided is necessary to achieve the person's vocational goal or independent living goal;

(d) The Rehabilitation Services Administration has approved the services for payment; and

(e) The treating dentist provides a post-dental service report.

121.2

The Rehabilitation Services Administration shall purchase prescription goods, prescription drugs, and medical supplies under the following circumstances:

(a) The Rehabilitation Services Administration determines it is necessary to achieve the person's vocational goal or independent living goal;

(b) The Rehabilitation Services Administration determines that no comparable benefit is currently available to the person, in accordance with section 114;

(c) The Rehabilitation Services Administration is provided a current, valid prescription from an authorized, licensed medical or other professional; and

(d) Unless a particular brand is specified by an authorized, licensed medical or other professional, the Rehabilitation Services Administration shall purchase generic drugs, goods and supplies.

121.3

The Rehabilitation Services Administration shall procure authorized dental services, prescription goods, and medical supplies in accordance with the D.C. Procurement Practices Reform Act of 2010 (D.C. Official Code §§ 2-351.01 et seq.).

D.C. Mun. Regs. tit. 29, r. 29-121

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