District of Columbia Administrative Code

4506 HEART SURGERY REPORTS 4506.1 Each hospital, unless specifically exempted by SHPDA, shall report annually the number of open heart surgery operations performed by patient age and patient residence categories for each of the following: (a) Congenital heart disease; (b) Valvula…

4507 CARDIAC CATHETERIZATION REPORTS 4507.1 Each hospital, unless specifically exempted by SHPDA, shall report annually the number of procedures performed in the cardiac catheterization laboratory in the categories specified below by the patient age and patient residence categori…

4508 EMERGENCY ROOM REPORTS 4508.1 Each hospital, unless specifically exempted by SHPDA, shall report annually, on the basis of a one (1) week sample survey, the number of emergency room encounters that were judged not to require emergency service. 4508.2 SHPDA shall notify a hos…

4509 REPORTS OF OTHER FACILITIES 4509.1 Each SNF and each ICF shall provide the following data annually: (a) The number of operating (staffed and otherwise held ready for occupancy) beds, by bed category (i.e., SNF and ICF); (b) The number of patient days by bed category; (c) The…

4510 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4511 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4512 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4513 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4514 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4515 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4516 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4599 DEFINITIONS 4599.1 The provisions of § 4099 of Chapter 40 of this title, and the definitions set forth in that section shall apply to this chapter. SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (O…

4600 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4600 AUTHORITY: DC-DCMR § 22 of the He…

4601 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4601 AUTHORITY: DC-DCMR § 22 of the He…

4602 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4602 AUTHORITY: DC-DCMR § 22 of the He…

4603 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4603 AUTHORITY: DC-DCMR § 22 of the He…

4604 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4604 AUTHORITY: DC-DCMR § 22 of the He…

4605 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4605 AUTHORITY: DC-DCMR § 22 of the He…

4606 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4606 AUTHORITY: DC-DCMR § 22 of the He…

4607 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4607 AUTHORITY: DC-DCMR § 22 of the He…

4699 [REPEALED] SOURCE: Final Rulemaking published at 35 DCR 5803 (July 29, 1988); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4699 AUTHORITY: DC-DCMR § 22 of the He…

4700 GENERAL PROVISIONS 4700.1 These rules are promulgated pursuant to the Health-Care Facility Unlicensed Personnel Criminal Background Check Act of 1998, effective April 20, 1999, as amended by the Health-Care Facility Unlicensed Personnel Criminal Background Check Amendment Ac…

4701 BACKGROUND CHECK REQUIREMENT 4701.1 A facility, long-term care facility or provider, shall not offer to employ or contract with any unlicensed person having direct patient, resident, or client access, or person licensed, registered, or certified under Chapter 12 of Title 3 o…

4702 FEES 4702.1 In order to obtain the criminal background check, the facilities or provider identified in § 4701.1, prospective employee, or contract worker shall pay the fee that is established to have the criminal background check performed by the Metropolitan Police Departme…

4703 PERSONNEL EMPLOYED ON THE EFFECTIVE DATE OF RULES 4703.1 A facility may obtain a criminal background check on each unlicensed person who is employed by the facility or whose contract services are used by the facility on the effective date of these rules. 4703.2 A facility sh…

4704 RECORDKEEPING 4704.1 Each facility shall maintain, in the personnel record of each employee covered by these rules, the following: (a) The date of hire; (b) The date on which a criminal background check was requested; (c) The date on which the results of the criminal backgro…

4705 CRIMINAL OFFENSES 4705.1 Except as provided in subsection 4705.2, a facility shall not employ or use the contract services of an unlicensed person who has been convicted, within the seven (7) years prior to a criminal background check conducted pursuant to these rules, of on…

4706 PENALTIES 4706.1 Any person who discloses any information in violation of the Act or of these rules shall be guilty of a misdemeanor, and upon conviction thereof shall be punishable by a fine not to exceed three hundred dollars ($ 300), a term of imprisonment not to exceed t…

4799 DEFINITIONS 4799.1 For the purposes of this chapter, the following terms shall have the meanings ascribed: Contract services - services provided on behalf of a facility by a person or entity other than the facility pursuant to a contractual agreement. Contract worker - a com…

4900 GENERAL PROVISIONS 4900.1 These rules are implemented pursuant to and in accordance with the Nurse Staffing Agency Act of 2003 (hereinafter "the Act"), effective March 10, 2004, D.C. Law 15-74, D.C. Official Code § 44-1051.01 et seq. Each nurse staffing agency must comply wi…

4901 LICENSING 4901.1 Each applicant for licensure as a nurse staffing agency must submit an application for initial licensure to the Department no later than ninety (90) days before its intended commencement of operation. 4901.2 As part of its initial application for licensure, …

4902 FEES 4902.1 The fee for each initial license shall be $1000. 4902.2 The fee for each renewal license shall be $500. 4902.3 The additional fee for a late application shall be $100. 4902.4 A fee of $50 shall be charged for a duplicate license. 4902.5 A fee may be imposed for a…

4903 INSURANCE 4903.1 Each nurse staffing agency must maintain the following minimum amounts of insurance coverage: (a) Blanket malpractice insurance for all professional employees in the amount of at least one million dollars ($1,000,000) per occurrence and at least three millio…

4904 PERSONNEL 4904.1 All nursing personnel and health aides, as defined in the Act and in these rules, must be employees of the nurse staffing agency. 4904.2 All nursing personnel and health aides, as defined in the Act and in these rules, must be evaluated by and must report to…

4905 COMPLAINT, INCIDENT, AND DISCIPLINARY REPORTING PROCEDURES 4905.1 Each nurse staffing agency must develop and implement policies and procedures for: (a) Receiving, recording, and investigating complaints; (b) Recording, reporting, and investigating incidents; and (c) Reporti…

4906 INSPECTIONS AND INVESTIGATIONS BY THE DEPARTMENT 4906.1 The Department shall be authorized to take the following actions to determine whether an applicant or a licensee is in compliance with the Act and with these rules: (a) On-site inspection, which may include review of re…

4907 ENFORCEMENT 4907.1 The Department may refuse to issue, refuse to renew, revoke, or suspend a nurse staffing agency's license for any of the following reasons: (a) Willful submission or use of false or misleading information in connection with an application for or with the u…

4908 CIVIL PENALTIES 4908.1 Civil fines, penalties, and fees may be imposed as sanctions for any violation of the Act or of these rules, pursuant to titles I-III of the Department of Consumer and Regulatory Affairs Civil Infractions Act of 1985, effective October 5, 1985 (D.C. La…

4909 CONDUCT OF HEARINGS 4909.1 Hearings shall be conducted and appeals shall be heard in accordance with the rules governing the conduct of administrative hearings for health-care facilities, located at 22 DCMR 3110, 3111 and 3112. SOURCE: Final Rulemaking published at 51 DCR 10…

4999 DEFINITIONS For the purposes of these rules, the following terms shall be defined as follows: Applicant - a person or entity that has timely filed an application for initial licensure or license renewal. Board or Board of Nursing - the District of Columbia Board of Nursing. …

500 GENERAL PROVISIONS AND ENFORCEMENT 500.1 Effective January 1, 2011, a health care facility shall not dispose of any pharmaceutical product, used or unused, by flushing the product down a drain or by any other method that utilizes the public sewer system, except as authorized …

501 EXEMPTED PHARMACEUTICAL PRODUCTS 501.1 When absent of any additional additives, the following pharmaceutical products may be disposed of by flushing the product down the drain or by another method that uses the sewer system: (a) Sterile Water; (b) Dextrose solutions such as f…

502 DISPOSAL OF UNUSED PHARMACEUTICAL PRODUCTS 502.1 Pharmaceutical products may be disposed of through: (a) A waste to energy program; (b) A pharmaceutical waste container with appropriate procedures for disposal; or (c) Recommended procedures as published by the FDA and DEA. Th…

503 RECORDKEEPING The recordkeeping requirements of this section shall apply to all health care facilities, unless otherwise exempted by this chapter or the Director. 503.2 A healthcare facility shall maintain a complete and accurate record of its pharmaceutical waste disposal, f…

599 DEFINITIONS 599.1 As used in this chapter the following terms shall have the meanings ascribed: Act - District of Columbia Unused Pharmaceutical Safe Disposal Act of 2009, effective March 5, 2010 (D.C. Law 18-112, D.C. Official Code §§ 48-851.01, et seq. (2012 Repl.)) Board -…

5000 CHANGES IN HOSPITAL RATES 5000.1 Any changes resulting in and increase of hospital charges shall be made in accordance with D.C. Code, 2001 Ed. §44-1924. Such changes shall be needed for annual inflationary reasons or to make hospital rates comparable with other similar inst…

5500 PURPOSE 5500.1 The purpose of this chapter is to set forth the standards under which a Health Maintenance Organization (HMO) or other health care provider may qualify to serve District Medicaid recipients on a prepaid basis. 5500.2 Organizations willing and able to offer qua…

5501 PROVIDER QUALIFICATIONS 5501.1 Except for QOs operated by Department or D.C. General Hospital, each QO shall be incorporated in the District of Columbia. 5501.2 Each QO shall demonstrate to the satisfaction of the Department that it, if it is a new organization, a majority o…

5502 FINANCIAL REQUIREMENTS 5502.1 The QO shall assure through its contracts, subcontracts, and any other appropriate manner that neither enrollees or the Department are held liable for debts of the QO in the event of its insolvency. 5502.2 The QO shall deposit into an escrow acc…

5503 AUDIT AND REPORTING REQUIREMENTS 5503.1 Each QO shall annually file a financial statement, verified by at least two (2) principal officers within ninety (90) days after the close of its fiscal year. 5503.2 The QO shall have the financial statement described in §5503.1 audite…