D.C. Mun. Regs. tit. 29, r. 29-909

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

Rule 29-909 - SCREENING, DIAGNOSTIC AND PREVENTIVE SERVICES

909.1

In accordance with Section 1905(a)(13) of the Social Security Act ("the Act") (42 U.S.C. § 1396d(a)(13)) , each beneficiary may be eligible to receive the following screening, diagnostic, and preventive services subject to the requirements set forth in these rules:

(a) Services assigned a grade of A or B (i.e., indicated as strongly recommended or recommended) by the United States Preventive Services Task Force;

(b) Indicated vaccines recommended by the Advisory Committee on Immunization Practices and approved for use by the United States Food and Drug Administration;

(c) Preventive care and screening of infants, children and adults as recommended by the Bright Futures Program of the Health Resources and Services Administration; and

(d) Age appropriate services for women, as recommended by the Institute of Medicine.

909.1

Services described in § 909.1 shall in no way diminish access to the Early and Periodic Screening, Diagnostic, and Treatment services authorized by Section 1905(r) of the Act ( 42 U.S.C. § 1396d(r)) for beneficiaries ages zero (0) through twenty-one (21).

909.2

All services authorized under this section shall be recommended by a physician or other licensed practitioner of the healing arts acting within the authorized scope of practice under the Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1201.01et seq.), and implementing rules, or comparable law in the state where the provider is licensed.

909.99

For purposes of this section, the following terms shall have the meaning ascribed:

Beneficiary - An individual enrolled in a medical assistance program, authorized under Titles XIX or XXI of the Social Security Act.

Indicated vaccines - Recommended age groups and medical indications for which administration of currently licensed vaccines is commonly recommended.

D.C. Mun. Regs. tit. 29, r. 29-909

Final Rulemaking published at 61 DCR 4154 (April 25, 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. & 2013 Supp.)) 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.)).