D.C. Mun. Regs. tit. 29, r. 29-9013

Current through Register Vol. 71, No. 49, December 6, 2024
Rule 29-9013 - REPORTING REQUIREMENTS
9013.1

Each Waiver provider shall submit quarterly reports to the DDS Service Coordinator no later than seven (7) business days after the end of the first quarter, and each subsequent quarter thereafter.

9013.2

For purposes of reporting, the first quarter shall begin on the effective date of a person's ISP.

9013.3

Each Waiver provider shall submit assessments, quarterly reports as set forth in § 9006.2(n), documents as described in § 9006.2(i), and physician's orders, if applicable, to the DDS Medicaid Waiver unit for the authorization of services.

9013.4

Each Waiver provider shall complete all documents required for the service(s) as set forth in each service rule and upload the documents into MCIS, DDS/DDA's case management information system, ninety (90) days prior to the person's ISP meeting.

9013.5

Failure to submit all required documents may result in sanctions by DDS up to and including a ban on authorizations for new service recipients. Service interruptions to the waiver participant due to the service provider's failure to submit required documentation will initiate referrals to a choice of a new service provider to ensure a continuation of services for the waiver participant. The date of the authorization of services shall be the date of receipt of the required documents by the Medicaid Waiver Unit, if the documents are submitted after the effective date of the ISP.

9013.6

Each Waiver provider shall report on a quarterly basis to the person served, his or her family, as applicable, guardian and surrogate decision maker and the DDS Service Coordinator about the programming and support provided to fulfill the objectives and outcomes identified in the ISP and Plan of Care, and any recommended revisions to the ISP and Plan of Care, when necessary, to promote continued skill acquisition, no later than seven (7) business days after the end of the first quarter, and each subsequent quarter thereafter.

9013.7

Each Waiver provider shall report all reportable incidents and all serious reportable incidents to DDS pursuant to the timelines established under DDA's Incident Management and Enforcement Policy and Procedures, available at: http://dds.dc.gov/page/policies-and-procedures-dda .

D.C. Mun. Regs. tit. 29, r. 29-9013

Final Rulemaking published at 69 DCR 10229 (8/12/2022)