D.C. Mun. Regs. tit. 29, r. 29-800

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

Rule 29-800 - GENERAL PROVISIONS

800.1

The purpose of this chapter is to establish requirements governing Medicaid reimbursement for Free Standing Mental Health Clinic (FSMHC) services.

800.2

In order to be eligible for Medicaid reimbursable FSMHC services, beneficiaries shall comply with the following:

(a) The Medicaid eligibility requirements set forth in Chapter 95 of Title 29 of the District of Columbia Municipal Regulations (DCMR); and

(b) The eligibility factors set forth in § 3001 of Chapter 30 of Title 22-A DCMR.

800.3

Pursuant to the requirements set forth in Chapter 30 of Title 22-A DCMR, the Department of Behavioral Health (DBH) shall be responsible for establishing the criteria for determining which Medicaid beneficiaries are eligible for FSMHC services.

800.4

An entity that is certified in accordance with the requirements set forth in Chapter 30 of Title 22-A DCMR is eligible to apply for certification as a Health Home in accordance with the requirements set forth in Chapter 25 of Title 22-A DCMR.

800.5

An FSMHC that is certified as a Health Home is eligible to receive reimbursement for the provision of Health Home services in accordance with the requirements set forth in Chapter 69 of Title 29 DCMR.

D.C. Mun. Regs. tit. 29, r. 29-800

Final Rulemaking adopted at 29 DCR 264 (January 15, 1982); amended by Final Rulemaking published at 66 DCR 007941 (7/5/2019); amended by Final Rulemaking published at 67 DCR 11436 (10/2/2020)

AUTHORITY: Unless otherwise noted, the authority for this chapter is Reorganization Plan No. 2 of 1979, 3 D.C. Code, 2001 Ed. at 338.