D.C. Mun. Regs. tit. 29, r. 4242

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

Rule 4242 - PROGRAM SERVICES: ADULT DAY HEALTH

4242.1

Adult day health services shall encourage adults enrolled in the EPD Waiver to live in the community by offering non-residential medical supports and supervised, therapeutic activities in an integrated community setting, to foster opportunities for community inclusion, and to deter more costly facility-based care.

4242.2

In order to receive Medicaid reimbursement, Adult Day Health services shall consist of the following:

(a) Medical and nursing consultation services including health counseling to improve and maintain the health, safety, and psycho-social needs of the beneficiary;

(b) Individual and group therapeutic activities which may include various social, recreational, and educational activities;

(c) Social service supports including consultations to determine the beneficiary's need for services and, guidance through counseling and teaching on matters related to the beneficiary's health, safety, and general welfare;

(d) Direct care supports including personal care assistance, and offering guidance in performing self-care and activities of daily living;

(e) Instruction on accident prevention and the use of special aides;

(f) Medication administration services provided by a R.N.;

(g) Nutrition services; and

(h) Coordination of transportation services for therapeutic activities that are scheduled off-site.

4242.3

Consistent with Chapter 97 of Title 29 DCMR, ADHP Waiver providers shall not be reimbursed separately for transportation services, including therapeutic activities occurring off-site. However, providers shall coordinate transportation provided under the DHCF non-emergency medical transportation benefit.

4242.4

All services shall be provided in accordance with the requirements set forth in Chapter 97 of Title 29 DCMR.

D.C. Mun. Regs. tit. 29, r. 4242

Final Rulemaking published at 64 DCR 6787 (7/21/2017)