Medicaid reimbursement shall be available to the D.C. Department of the Environment ("DDOE") or its agent(s) to conduct investigations that determine the source of lead contamination in the primary residence of Medicaid-eligible children under the age of twenty-one (21) who have been diagnosed with elevated blood lead levels.
Reimbursement for an environmental investigation to identify lead contamination shall be limited to reimbursement for one (1) investigation per home where a Medicaid-eligible child who has been diagnosed with an elevated blood level resides.
Reimbursement shall only be provided if the investigation was performed by a certified Lead Risk Assessor.
The cost of testing of environmental substances identified during the on-site investigation shall not be reimbursable under this section.
The reimbursement rate for an environmental investigation shall be $476.72 for one (1) visit which shall represent one (1) unit of service.
DEFINITIONS
For purposes of this section, the following terms shall have the meanings ascribed.
Risk Assessor - An individual who has been trained by an accredited training program and certified to conduct risk assessments (D.C. Official Code §§ 8-231.01et seq.).
D.C. Mun. Regs. tit. 29, r. 29-921