District of Columbia Administrative Code

3426 ASSERTIVE COMMUNITY TREATMENT 3426.1 ACT is an intensive, integrated, rehabilitative, crisis, treatment, and mental health community support service provided by an interdisciplinary team to individuals eighteen (18) and over with serious and persistent mental illness with de…

3427 CHILD-PARENT PSYCHOTHERAPY 3427.1 Child-Parent Psychotherapy (CPP) is a relationship-based treatment intervention for young children with a history of trauma exposure or maltreatment, and their parents or caregivers. CPP helps restore developmental functioning and reduce tra…

3428 TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY 3428.1 Trauma-Focused Cognitive Behavioral Therapy (“TF-CBT”) is a psychotherapeutic intervention designed to help children, working with their parent or caregivers, overcome the negative effects of traumatic life events. The treat…

3429 TRAUMA RECOVERY AND EMPOWERMENT MODEL 3429.1 TREM is a structured group therapy intervention designed for individuals who have survived trauma and have substance use disorders and/or mental health conditions. TREM draws on cognitive restructuring, skills training, and psycho…

3430 TRAUMA SYSTEMS THERAPY 3430.1 TST is a comprehensive, phase-based model for treating traumatic stress in children and adolescents that adds to individually-based approaches by specifically addressing the child’s social environment and/or system of care. TST is designed to pr…

3431 FUNCTIONAL FAMILY THERAPY 3431.1 FFT is an evidence-based proprietary therapeutic service for youth and their families to prevent youth who are already involved or at risk of becoming involved in the juvenile justice system from further penetrating the system. FFT is a stren…

3432 CLINCIAL CARE COORDINATION Clinical Care Coordination (CCC) adopts a “whole-person” approach to address the consumer’s needs related to their physical health, behavioral health, and social determinants of health. CCC involves coordination of care between the behavioral healt…

3433 BEHAVIORAL HEALTH ACCREDITATION 3433.1 Effective October 1, 2023, all MHRS providers shall obtain and maintain in good standing behavioral health accreditation with at least one (1) of the following organizations: the Commission on Accreditation of Rehabilitation Facilities …

3434 REIMBURSABLE SERVICES 3434.1 Reimbursement for the provision of MHRS shall be on a per unit basis as indicated in § 3434.4. 3434.2 Each covered service shall have a unique billing code as established by the Department. 3434.3 The actual start and stop time of the service sha…

3435 NON-REIMBURSABLE SERVICES 3435.1 Services not covered as MHRS include: Room and board residential costs; Inpatient hospital services, including hospital, nursing facility, intermediate care facility for individuals with intellectual disabilities, and institutions for mental …

3436 INTENSIVE CARE COORDINATION 3436.1 ICC is a comprehensive, holistic, child/youth, and family-driven approach to case management for children and youth experiencing behavioral health challenges. ICC services shall be delivered according to the National Wraparound Initiative (…

3499 DEFINITIONS 3499.1 The following terms in this chapter have the meaning ascribed in this section: Advanced Practice Registered Nurse (“APRN”) – A person licensed as an advanced practice registered nurse in accordance with applicable laws and regulations of the District or ju…

3500 GENERAL PROVISIONS 3500.1 These rules establish the requirements and process for certification of a Core Services Agency (CSA) as a Child Choice Provider (CCP) in the District of Columbia. 3500.2 Each CCP must demonstrate an understanding of and experience in family-centered…

3501 ELIGIBLE CONSUMERS 3501.1 Eligible consumers of CCP services include the following: (a) Children and youth consumers determined to need MHRS services; and (b) The families of eligible children and youth. 3501.2 Priority for mental health services by a CCP will be given to ch…

3502 CCP PROVIDER QUALIFICATIONS 3502.1 In order to be eligible for CCP certification, a provider shall meet all of the following standards: (a) Be an active Department of Behavioral Health (DBH)-certified CSA in accordance with Chapter 34 of this title; Be certified to provide a…

3503 CCP CERTIFICATION PROCESS 3503.1 Each applicant seeking certification as a CCP shall submit a CCP certification application to the DBH in the format established by the DBH Office of Accountability. The completed application shall include: (a) Proof of current certification a…

3504 CCP EVIDENCE-BASED PRACTICES TO BE PROVIDED AS CLINICAL INTERVENTION SERVICES 3504.1 Specific Evidence-Based Practices (EBPs) to be provided by CCPs shall include one (1) or more of the following: (a) Multi-Systemic Therapy (MST) and Multi-Systemic Therapy for Youth with Pro…

3505 CHILD CHOICE PROVIDER RESPONSIBILITIES 3505.1 Each CCP must maintain the required staffing and practices to satisfy the evidence-based practice standards for the respective EBP(s) that they practice. Adherence to prescribed staffing requirements and nationally established fi…

3506 REVOCATION OF CERTIFICATION 3506.1 If Certification is revoked, DBH will issue a notice of revocation, giving the CCP provider the effective date of the revocation, the reasons for the revocation, and explaining the right to an administrative review under this subsection. 35…

3599 DEFINITIONS “Child-Parent Psychotherapy for Family Violence or “CPP-FV” – a relationship-based treatment intervention for young children with a history of trauma exposure or maltreatment, and their caregivers. “Child Choice Provider” or “CCP” – a Mental Health Rehabilitation…

3600 PURPOSE 3600.1 This chapter establishes the specialized services and reimbursement rates for services provided by Child Choice Providers (CCPs) to children and youth in the legal care and custody of the Child and Family Services Agency (CFSA). 3600.2 Nothing in this chapter …

3601 ELIGIBILITY FOR SERVICES 3601.1 Children and youth in the legal care and custody of Child and Family Services Agency (CFSA) are eligible for these services if they: Are identified by a Mental Health Rehabilitation Services (MHRS) provider as needing mental health services; A…

3602 CHOICE CARE COORDINATION 3602.1 Choice Care Coordination is care coordination provided by a Child Choice Provider to a child or youth in the legal care and custody of CFSA. 3602.2 Choice Care Coordination is the implementation of the comprehensive care plan through appropria…

3603 FLEXIBLE SPENDING CHILD CHOICE SERVICES 3603.1 Flexible Spending Child Choice Services (FLEXN Services) are non-Medicaid services and supports that are provided by a Child Choice Provider intended to augment, and thereby increase the therapeutic benefit of, clinical services…

3604 TRAVEL/TRANSPORTATION 3604.1 Child Choice Providers utilize travel/transportation service as mileage reimbursement for travel services used for engagement activities to prevent placement disruption and promote positive outcomes with children or youth and their families place…

3605 SERVICE CODES AND RATES 3605.1 Service codes and rates for the Choice Care Coordination, FLEXN Services, and Travel/Transportation are set forth below: SERVICE CODE RATE Choice Care Coordination H0006HU $21.97 FLEXN Services FLEXN $0.01 Travel/Transportation DBH-MILN GSA Per…

3606 RECORDS AND DOCUMENTATION REQUIREMENTS 3606.1 Each Child Choice Provider shall utilize the Department’s data management system for documenting and billing all services provided pursuant to this chapter. 3606.2 Each Child Choice Provider shall maintain all documentation and r…

3607 SUBMISSION OF CLAIM; PAYMENT OF VOUCHER 3607.1 The Child Choice Provider shall submit all claims for services rendered pursuant to this chapter through the Department’s data management system. 3607.2 The Child Choice Provider shall submit appropriate documentation to support…

3699 DEFINITIONS 3699.1 When used in this chapter, the following terms shall have the meaning ascribed: Child Choice Provider - a Mental Health Rehabilitation Service (MHRS) Core Services Agency (CSA) certified as a Child Choice Provider pursuant to Chapter 35 (Child Choice Provi…

3700 MENTAL HEALTH AND SUBSTANCE USE DISORDER SUPPORTED EMPLOYMENT SERVICES AND PROVIDER CERTIFICATION STANDARDS 3700.1 These rules establish the requirements and process for certifying a provider as a Mental Health Supported Employment provider or a Substance Use Disorder (SUD) …

3701 INITIAL CERTIFICATION REQUIREMENTS 3701.1 No person or entity shall provide Mental Health or SUD Supported Employment services to consumers/clients eligible for services under this chapter unless certified in accordance with this chapter. 3701.2 No person or entity shall app…

3702 RECERTIFICATION REQUIREMENTS 3702.1 The Department shall follow the applicable processes set forth in 22-A DCMR Chapter 34 to recertify, deny recertification, or decertify providers as Mental Health or SUD Supported Employment providers. 3702.2 A Mental Health or SUD Support…

3703 EXEMPTIONS FROM CERTIFICATION STANDARDS 3703.1 Upon good cause shown, the Department may exempt an applicant or current Mental Health or SUD Supported Employment provider from a certification standard if the exemption does not jeopardize the health and safety of Supported Em…

3704 MENTAL HEALTH AND SUD SUPPORTED EMPLOYMENT SERVICES 3704.1 Both Mental Health and SUD Supported Employment providers shall deliver the following services to Supported Employment consumers/clients: Vocational Supported Employment services: Intake, which involves obtaining bac…

3705 MENTAL HEALTH AND SUBSTANCE USE DISORDER SUPPORTED EMPLOYMENT PROVIDER STAFFING REQUIREMENTS 3705.1 A Mental Health or SUD Supported Employment provider shall have at a minimum: One (1) Supported Employment Supervisor; and One (1) Supported Employment Team comprised of: One …

3706 MENTAL HEALTH AND SUD SUPPORTED EMPLOYMENT RECORDS AND DOCUMENTATION REQUIREMENTS 3706.1 Each Supported Employment provider shall establish and adhere to an Employment Record Policy for employment record documentation, security, and confidentiality of consumer/client informa…

3707 MENTAL HEALTH SUPPORTED EMPLOYMENT SERVICES ELIGIBILITY 3707.1 To be eligible for Mental Health Supported Employment services, a consumer shall: Be at least eighteen (18) years of age; Indicate an interest in employment as determined through the diagnostic and comprehensive …

3708 AUTHORIZATION OF AND REFERRALS TO MENTAL HEALTH SUPPORTED EMPLOYMENT SERVICES 3708.1 MHRS Core Service Agencies (CSAs) shall assess all consumers eighteen (18) years of age and older for interest in and potential eligibility for Mental Health Supported Employment services as…

3709 INTEGRATION WITH THE CSA TREATMENT TEAM 3709.1 Mental Health Employment Specialists shall be integrated as part of the Supported Employment consumer’s CSA treatment team. The Mental Health Employment Specialist shall attend regular treatment team meetings and maintain freque…

3710 SUD SUPPORTED EMPLOYMENT SERVICES ELIGIBILITY 3710.1 To be eligible for SUD Supported Employment services, a client shall: (a) Be at least eighteen (18) years of age; (b) Indicate an interest in employment as determined through the ongoing or comprehensive diagnostic assessm…

3711 AUTHORIZATION OF AND REFERRALS TO SUD SUPPORTED EMPLOYMENT SERVICES 3711.1 Providers of Level Opioid Treatment Program, Level 1, Level 2.1 and Level 2.5 shall assess all clients eighteen (18) years of age and older for interest in and potential eligibility for SUD Supported …

3712 INTEGRATION WITH THE SUD TREATMENT TEAM 3712.1 SUD Employment Specialists shall be integrated as part of the Supported Employment client’s referring SUD provider’s treatment team. The SUD Employment Specialist shall attend regular treatment team meetings and maintain frequen…

3713 REIMBURSEMENT 3713.1 Mental Health and SUD Supported Employment providers, pursuant to their contract with RSA, shall seek reimbursement from RSA for the following services when provided to their Supported Employment consumers/clients while they are enrolled with RSA: Job De…

3799 DEFINITIONS 3799.1 When used in this chapter, the following words shall have the meanings ascribed: Client – a person admitted to an SUD treatment or recovery program and is assessed to need SUD treatment services or recovery support services. Consumer – a person who seeks o…

3800 PURPOSE AND SCOPE OF CHAPTER 3800.1 The purpose of these regulations is to provide for the health, safety, and person-centered welfare of individuals with mental illness residing in mental health community residence facilities (MHCRFs). Each MHCRF shall meet the requirements…

REQUIREMENT TO HOLD A MHCRF LICENSE 3801.1 No person shall operate or hold himself or herself out as operating a MHCRF in the District of Columbia, whether public or private, profit or not-for-profit, without being licensed as required by this chapter. Any person who violates thi…

3802 MHCRF LICENSE AND INSPECTION FEES 3802.1 Each MHCRF license shall be issued in the name of the Operator of the MHCRF business. A MHCRF license is not transferable and shall be valid only with respect to the Operator and only for the facility location identified on the licens…

3803 DISTRICT GOVERNMENT RIGHT OF ENTRY AND INSPECTION 3803.1 The Director, any other duly authorized official of the Department, or any other District government agency having jurisdiction or responsibility over a MHCRF or a resident in a MHCRF, after presenting credentials of i…

3804 ELIGIBILITY REQUIREMENTS FOR LICENSURE 3804.1 In order to qualify for a MHCRF license, an Applicant shall: (a) Submit a completed application pursuant to § 3805 to the Department together with all required documents; (b) Ensure that the facility meets all structural and envi…

3805 APPLICATION FOR LICENSE 3805.1 An application for licensure as a MHCRF shall be submitted in the name of the Operator, who shall have an ownership or leasehold interest in the real property where the MHCRF will be located. The application shall be in the format established b…