D.C. Mun. Regs. tit. 29, r. 29-4508

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

Rule 29-4508 - BEHAVIORAL HEALTH SERVICES

4508.1

Covered behavioral health services provided by an FQHC shall be limited to ambulatory mental health and substance abuse evaluation, treatment and management services identified by specific Current Procedural Terminology (CPT) codes. Such codes include psychiatric diagnosis, health and behavioral health assessment and treatment, individual and family therapy, and pharmacologic management. DHCF shall issue a transmittal to the FQHCs which shall include the specific CPT codes including any billing requirements for covered behavioral health services.

4508.2

Covered behavioral health services set forth in this section shall be delivered by the following health care professionals who shall be licensed in accordance with the HORA and certified by the Department of Behavioral Health when required by District Law:

(a) A physician, including a psychiatrist;

(b) An APRN;

(c) A psychologist;

(d) A licensed independent clinical social worker;

(e) A licensed independent social worker (LISW);

(f) A graduate social worker, working under the supervision of an LISW;

(g) A licensed professional counselor;

(h) A certified addiction counselor;

(i) A licensed marriage and family therapist; and

(j) A licensed psychologist associate, working under the supervision of a psychologist or psychiatrist.

D.C. Mun. Regs. tit. 29, r. 29-4508

Final Rulemaking published at 64 DCR 907 (2/2/2018)