District of Columbia Administrative Code

2335 SERVICES AND SUPPORTS -- PATIENT REHABILITATION PLAN AND REVIEW STANDARDS 2335.1 If admitted, the rehabilitation plan shall be developed for each patient by the interdisciplinary team based on the comprehensive assessment within ten (10) days of the admission, unless the pat…

2336 SERVICES AND SUPPORTS -- REHABILITATION SERVICES STANDARDS 2336.1 A substance abuse treatment facility or program shall provide services in accordance with the patient’s rehabilitation plan. 2336.2 If a patient fails to appear at any scheduled program activity, the facility …

2337 SERVICES AND SUPPORTS -- ON-SITE CRISIS INTERVENTION AND CLINICAL EMERGENCY STANDARDS 2337.1 The facility or program shall develop and implement a crisis intervention policy that includes a mechanism for obtaining urgent or emergency medical services if on-call physician bac…

2338 SERVICES AND SUPPORTS -- OFF-SITE, OFF-HOURS CRISIS INTERVENTION STANDARDS 2338.1 A substance abuse treatment facility or program shall provide for its patients a twenty-four (24) hour per day, seven (7) day per week on-call system for crisis intervention counseling, and ref…

2339 SERVICES AND SUPPORTS -- CORE SERVICE REQUIREMENTS 2339.1 A substance abuse treatment facility or program shall provide at a minimum the following consumer-centered core services on-site, either directly or through consultant/contract agreement, in such a manner as to ensure…

2340 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- INDIVIDUAL ADDICTION COUNSELING 2340.1 Individual addiction counseling may include face-to-face interaction with a patient for the purpose of assessment or supporting the patient’s recovery. 2340.2 Key service functio…

2341 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- GROUP ADDICTION COUNSELING 2341.1 Key service functions of group counseling shall include, but are not limited to: (a) Facilitating individual disclosure of issues that permits generalization of the issue to the large…

2342 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- INDIVIDUAL PSYCHOTHERAPY 2342.1 Individual psychotherapy shall only be performed by either a: (a) Licensed board certified psychiatrist; (b) Licensed psychologist; (c) Licensed psychiatric nurse or nurse practitioner;…

2343 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- FAMILY THERAPY 2343.1 Family therapy is defined as planned, goal-oriented therapeutic interaction of a qualified individual with the patient and/or one or more members of the patient’s family in order to address and r…

2344 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- CLINICAL CASE MANAGEMENT SERVICES 2344.1 Clinical case management services shall be provided to include but is not limited to: (a) Identification of all types of services necessary to preserve or improve functional st…

2345 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- CLINICAL CASE MANAGER QUALIFICATIONS AND SUPERVISION 2345.1 Clinical case management services shall be provided by a person who: (a) Has a bachelor’s degree from an accredited college or university in social work, cou…

2346 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- GROUP EDUCATION 2346.1 Key service functions of group education may include but are not limited to: (a) Classroom style didactic lectures to present information about a topic and its relationship to substance abuse; (…

2347 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- THERAPEUTIC ASSISTANT SERVICES FOR RESIDENTIAL FACILITIES 2347.1 Therapeutic assistant services, provided in a residential setting, shall include the following activities: (a) Training in activities of daily living; (…

2348 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- DRUG SCREENING AND LABORATORY SERVICES 2348.1 The facility or program shall conduct tests or drug-screening analyses to determine and detect the use of alcohol and other drugs. 2348.2 The facility or program shall ide…

2349 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- GENERAL NURSING SERVICES 2349.1 Only licensed registered and/or practical nurses shall provide nursing services that include, but are not limited to: (a) Health assessments of patients and children, as appropriate; (b…

2350 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- CONTINUING CARE PLANS 2350.1 A substance abuse treatment facility or program shall develop and implement policies and procedures to ensure continuity of care when developing continuing care plans for patient’s who wil…

2351 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- AFTERCARE PLANS 2351.1 The facility or program shall develop policies and procedures for developing patient aftercare plans to effectively transition patients into the community after discharge. 2351.2 The patient sha…

2352 SERVICES AND SUPPORTS: STANDARDS FOR CORE REQUIREMENTS -- DISCHARGE SUMMARY 2352.1 A substance abuse treatment facility or program shall develop criteria and implement written policies and procedures regarding: (a) Termination or removal from the program; (b) Discharge plann…

2353 RECORDS MANAGEMENT -- STANDARDS FOR CONFIDENTIALITY 2353.1 All patient records shall be kept confidential and shall be handled in compliance with “Confidentiality of Alcohol and Drug Abuse Patient Records” 42 C.F.R., Part 2, and District laws and regulations regarding the co…

2354 RECORDS MANAGEMENT -- STANDARDS FOR PATIENT RECORDS MAINTENANCE AND REPORTING 2354.1 A substance abuse treatment facility or program shall maintain an organized record of each patient served in a secured manner. 2354.2 The substance abuse treatment facility or program direct…

2355 RECORDS MANAGEMENT -- STANDARDS FOR STORAGE AND RETENTION OF PATIENT RECORDS 2355.1 A substance abuse treatment facility or program shall retain patient records (either original or accurate reproductions) for at least five (5) years or until all litigation, adverse audit fin…

2356 SPECIALITY SERVICES -- STANDARDS FOR DAY TREATMENT 2356.1 A substance abuse treatment program providing day treatment shall provide services that are part of a comprehensive package of services and therapeutic structured activities. 2356.2 Day treatment services shall be con…

2357 SPECIALITY SERVICES -- ADDITIONAL STANDARDS FOR PROGRAMS SERVING PARENTS AND THEIR CHILDREN 2357.1 In addition to core requirements and other standards described in this chapter, a substance abuse treatment facility or program providing rehabilitation services to parents and…

2358 SPECIALTY SERVICES -- STANDARDS FOR THE DEVELOPMENTAL ASSESSMENT OF CHILDREN 2358.1 A developmental assessment must be completed within three (3) days if a child of a patient is formally admitted to a substance abuse treatment facility or program serving parents and their ch…

2359 SPECIALITY SERVICES -- STANDARDS FOR THERAPEUTIC RECREATIONAL ACTIVITIES 2359.1 A substance abuse treatment facility or program shall provide structured therapeutic recreational activities: (a) Designed to assist the individual to learn ways to use leisure time constructivel…

2360 SPECIALITY SERVICES -- MEDICATION MANAGEMENT STANDARDS 2360.1 Controlled substances shall be maintained in accordance with Chapter 10, Title 22 of the District of Columbia Municipal Regulations, and 21 C.F.R., Part 1300 of the Code of Federal Regulations. 2360.2 A substance …

2361 SPECIALITY SERVICES -- ADDITIONAL STANDARDS FOR NARCOTIC TREATMENT (OPIOID REPLACEMENT) PROGRAMS 2361.1 In addition to the requirements of this section, programs providing narcotic treatment shall comply with standards for all facilities and program as specified in this chap…

2362 SPECIALITY SERVICES -- STANDARDS FOR DUAL DIAGNOSTIC SERVICES 2362.1 All substance abuse treatment facilities or programs shall have the capability of serving persons with dual diagnosis as defined in the standards. The facilities or program may serve persons with a diagnosi…

2363 SPECIALITY SERVICES -- STANDARDS FOR MEDICAL DETOXIFICATION 2363.1 Medical detoxification services shall comply with all standards identified in this section and all other applicable standards in this chapter, and guidelines as recommended by the Substance Abuse and Mental H…

2364 SPECIALITY SERVICES -- STANDARDS FOR MEDICAL DETOXIFICATION PERSONNEL 2364.1 A substance abuse treatment facility or program shall have on staff a supervising physician who has the responsibility for administering all medical and pharmaceutical procedures. The physician shal…

2365 SPECIALITY SERVICES -- STANDARDS FOR MEDICAL DETOXIFICATION TREATMENT RECORD 2365.1 A complete medical history and physical examination shall be performed and documented on each patient within twenty-four (24) hours of admission. 2365.2 A psychosocial assessment shall be com…

2366 SPECIALITY SERVICES -- STANDARDS FOR BEHAVIORAL MANAGEMENT 2366.1 A substance abuse treatment facility or program shall develop written policies and procedures that define the use of behavior management, including time-out, physical, mechanical and chemical restraint, seclus…

2367 ADMINISTRATIVE REMEDIES -- DENIAL, SUSPENSION, OR REVOCATION OF CERTIFICATION 2367.1 The Department may refuse to issue or renew, or may revoke, or suspend a certification for failure to comply with the provisions of the Act, rules adopted pursuant to this Act, and all other…

2368 ACCESS TO RECOVERY PROGRAM 2368.1 A provider intending to provide recovery support services under this section shall submit an application on a form approved by the Director. The certification provided under this section shall be in addition to certification under this chapt…

2399 DEFINITIONS Access to Recovery Program or ATR Program - The voucher program for the provision of recovery support services under section 4a of the Choice in Drug Treatment Act of 2000, effective July 18, 2000 (D.C. Law 13-146; D.C. Official Code § 7-3003.01). Act - The Distr…

2400 GENERAL PROVISIONS 2400.1 This chapter, and Chapter 23 (Certification Standards for Substance Abuse Treatment Facilities and Programs) of Title 29 of the D.C. Municipal Regulations, shall apply to the certification of substance abuse treatment programs eligible to participat…

2401 CERTIFICATION 2401.1 A substance abuse treatment program shall be eligible for full certification and full participation in the DTCP when the substance abuse treatment program satisfies the following requirements: (a) Has a valid certification from the Department as a qualif…

2402 SUSPENSION, REVOCATION, AND DENIAL 2402.1 The Department may revoke, suspend, or deny a certificate issued pursuant to this chapter according to the procedures established in and for the reasons given in 29 DCMR § 2367. The Department may also suspend, revoke, or deny a cert…

2403 INTAKE AND ASSESSMENT 2403.1 Substance abuse treatment program shall use standardized intake forms and standardized procedures for intake, assessment, and placement of patients approved by the Department. 2403.2 The Department shall determine eligibility for participation in…

2404 RESERVED SOURCE: Final Rulemaking published at 51 DCR 3720 (April 9, 2004); as amended by Emergency Rulemaking published at 50 DCR 1604 (February 14, 2003) [EXPIRED]; as amended by Emergency Rulemaking published at 49 DCR 11039 (December 6, 2002) [EXPIRED]; as amended by Eme…

2405 ELIGIBILITY 2405.1 Any person seeking substance abuse treatment shall participate in an eligibility determination process and shall meet the following eligibility requirements before qualifying to participate in the DTCP: (a) The applicant shall provide proof of District res…

2499 DEFINITIONS 2499.1 The meanings ascribed to the definitions appearing in § 2399.1 of Chapter 23 shall apply to the terms in this chapter. 2499.2 When used in this chapter, the following terms shall have the meaning ascribed: Act--the Choice in Drug Treatment Act of 2000, eff…

2500 SCOPE 2500.1 The provisions of this chapter shall apply to: (a) Shelter and supportive housing programs offered by the District of Columbia or by a Provider receiving funding for the program from either the District of Columbia or the federal government, if such funds are ad…

2501 GENERAL ELIGIBILITY CRITERIA FOR SHELTER AND SUPPORTIVE HOUSING 2501.1 An applicant, whether an individual or family, shall be eligible to receive shelter and supportive housing services if the applicant: Is homeless or at imminent risk of becoming homeless because the appli…

2502 INTAKE FOR SEVERE WEATHER SHELTER FOR INDIVIDUAL ADULTS Intake for severe weather shelter for individual adults shall consist of an eligibility determination and placement in a shelter. An individual adult applicant shall apply directly to and be determined eligible for seve…

2503 INTAKE FOR LOW BARRIER SHELTER FOR INDIVIDUAL ADULTS 2503.1 Intake for low barrier shelter for individual adults shall consist of an eligibility determination and placement in a shelter. 2503.2 An individual adult applicant shall apply directly to and be determined eligible …

2503 INTAKE FOR LOW BARRIER SHELTER FOR INDIVIDUAL ADULTS 2503.1 Intake for low barrier shelter for individual adults shall consist of an eligibility determination and placement in a shelter. 2503.2 An individual adult applicant shall apply directly to and be determined eligible …

2504 ASSESSMENT AND REFERRAL FOR INDIVIDUAL ADULTS IN LOW BARRIER SHELTER Individuals receiving low barrier shelter services shall be offered assessment and case management services with an appropriately trained, qualified, and supervised case manager. Individuals in low barrier …

2506 ASSESSMENT AND REFERRAL FOR INDIVIDUAL ADULTS IN TEMPORARY SHELTER 2506.1 Individuals receiving temporary shelter services for individual adults shall be provided assessment and case management services with an appropriately trained, qualified, and supervised case manager. 2…

2507 INTAKE FOR FAMILIES – ELIGIBILITY DETERMINATION 2507.1 To determine eligibility for family shelter, each family seeking assistance shall complete an application at a central intake center. The application shall be in writing on a form prescribed by the Department and shall b…