D.C. Mun. Regs. tit. 29, r. 29-7103

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

Rule 29-7103 - DEVELOPMENTAL THERAPY SERVICES

7103.1

Providers of Medicaid reimbursable developmental therapy services, also known as Special Instruction, shall meet one (1) or more of the following requirements:

(a) Have a Teaching Endorsement in Early Childhood Education (ECE) or Special Education;

(b) Have a bachelor's degree in Early Childhood Development, Early Childhood Education, Early Childhood Special Education, Special Education, or a related health, human service, or education field with one (1) year of direct experience with children from birth to age three (3); or

(c) Be a licensed occupational therapist, physical therapist, or qualified speech pathologist subject to the requirements set forth in §§ 7107.1, 7108, and 7111, with one (1) year of direct experience with children age three (3) and under.

7103.2

Licensed occupational therapists, physical therapists, or qualified speech pathologists providing Medicaid reimbursable developmental therapy services shall comply with the requirements set forth in § 7103.1 and shall have documented completion of at least three (3) semester hours or thirty (30) continuing education units (CEU) in the following EI core knowledge content areas:

(a) The development of young children;

(b) Typical and atypical child development;

(c) Working with families of young children with disabilities; and

(d) Intervention strategies for young children with special needs.

7103.3

Applied Behavioral Analysis (ABA) therapy shall be provided by a provider with the credentialing requirements set forth in §§ 7103.1 and 7103.2 and shall also be certified as a Board Certified Behavior Analyst by the Behavior Analyst Certification Board.

7103.4

Medicaid reimbursable developmental therapy services shall include the following:

(a) Assistance with developing and/or enhancing social and adaptive skills to enable the child to attain maximum functional level;

(b) Assistance with acquisition, retention, and/or improvement of skills related to activities of daily living, such as feeding, dressing communicating with caregivers, and the social and adaptive skills to enable the child to reside in his/her home or non-institutional community setting;

(c) Individual, group, or family therapy with the parents, other family members, or authorized caregivers;

(d) Family training, education, and support provided to assist the family of the child in understanding the special needs of the child as related to enhancing their skill development; and

(e) ABA for children suspected to have Autism Spectrum Disorders (ASD).

D.C. Mun. Regs. tit. 29, r. 29-7103

Final Rulemaking published at 61 DCR 8122 (August 8, 2014)

Authority: An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02 (2012 Repl.)) and Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2012 Repl.)).