D.C. Mun. Regs. tit. 29, r. 4220
Current through Register Vol. 71, No. 49, December 6, 2024
The reimbursement rate for occupational therapy during Waiver Year 5 and Waiver Year 1 of the Renewal shall be sixteen dollars and twenty five cents ($16.25) per unit, where one unit of service is equivalent to fifteen (15) minutes of service delivery.
Reimbursement of occupational therapy services shall be limited to four (4) hours per day and one hundred (100) hours per calendar year. Requests for additional hours may be submitted to DHCF or its agent and approved when accompanied by a physician's order or when the request passes a clinical review by staff designated by the State Medicaid Director to provide oversight on the utilization of additional services.
D.C. Mun. Regs. tit. 29, r. 4220