D.C. Mun. Regs. tit. 29, r. 29-7415

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

Rule 29-7415 - HSS PROVIDER CERTIFICATION PROCESS

7415.1

The Department shall use its HCA contracting process to certify each entity as an HSS provider.

7415.2

The Department shall utilize the certification process to thoroughly evaluate the applicant's capacity to provide high quality HSS in accordance with these regulations and the needs of the District's Continuum of Care.

7415.3

No person or entity shall provide HSS unless certified by the Department.

7415.4

Certification shall remain in effect until it expires, is renewed, or is revoked.

7415.5

Certification shall be considered terminated if the HSS provider is no longer party to a PSH HCA with the Department.

7415.6

Certification is not transferable to any other organization.

7415.7

Nothing in this Chapter shall be interpreted to mean that certification is a right or an entitlement. Certification as an HSS provider depends upon the Department's assessment of the need for additional HSS providers and availability of funds. An entity that applies for certification during an open application period as published in the District of Columbia Register may appeal the denial of certification under this subsection by utilizing the procedures contained in 27 DCMR Ch. 3. The Department shall not accept any applications for which a notice of moratorium is published in the District of Columbia Register.

7415.8

The HSS provider shall notify the Department in writing thirty (30) calendar days prior to implementing any of the following operational changes, including all aspects of the operations materially affected by the changes:

(a) A proposed change in the name or ownership of an HSS provider owned by an individual, partnership, or association, or in the legal or beneficial ownership of ten percent (10%) or more of the stock of a corporation that owns or operates the HSS provider;

(b) A change in affiliation or referral arrangements;

(c) A proposed change in the location of the provider's headquarter location;

(d) The proposed addition or deletion of services, which is anything that would alter or disrupt services where the consumer would be impacted by the change, or any change that would affect compliance with this Chapter;

(e) A change in the required staff qualifications for employment;

(f) A change in the staff filling positions required by this Chapter;

(g) A proposed change in organizational structure; or

(h) A proposed change in the population served.

7415.9

The HSS provider shall forward to the Department within thirty (30) calendar days all inspection reports conducted by an oversight body and all corresponding corrective actions taken regarding cited deficiencies.

7415.10

The HSS provider shall immediately report to the Department any criminal allegations involving provider staff.

7415.11

In order to maintain certification, a HSS provider shall:

(a) Participate in activities supporting the successful implementation of the HSS program, including:

(1) Trainings to foster professional competency and development of best practices related to person-centered planning, chronic disease self-management, and related topics;

(2) Continuous quality improvement tasks, monitoring and performance reporting;

(3) District-wide initiatives to support the exchange of health information; and

(4) Evaluations required by CMS, DHCF or the Department;

(b) Maintain compliance with all requirements set forth in this Chapter; and

(c) Maintain compliance with all terms and conditions set forth in the HSS provider's HCA with the Department and its DC Medicaid provider agreement including all modifications, as well as with all applicable federal and District laws.

D.C. Mun. Regs. tit. 29, r. 29-7415

Final Rulemaking published at 71 DCR 6868 (6/7/2024)