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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-A. MENTAL HEALTH |
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Chapter 22-A25. HEALTH HOME CERTIFICATION STANDARDS |
Section 22-A2501. CERTIFICATION REQUIREMENTS
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2501.1No person or entity shall operate a Health Home unless certified in accordance with this chapter.
2501.2The following minimum eligibility requirements shall apply to any CSA seeking certification as a Health Home:
(a) Current certification as an MHRS CSA in accordance with Chapter 34 of this subtitle;
(b) Current enrollment as a D.C. Medicaid provider for the delivery of MHRS;
(c) Use of the Department of Behavioral Health’s (the Department’s), data management system for all Health Home-related services and functions;
(d) No current or pending exclusions, suspensions or debarment from any federal or D.C. healthcare program; and
(e) Demonstrated ability through readiness assessments and training to comply with the terms and requirements of this chapter.
2501.3An MHRS CSA seeking certification shall submit an application in a format established by the Department.
2501.4The Department shall process applications for certification as a Health Home provider in accordance with the procedures for MHRS certification in Subsection 3401 of Chapter 34 of this subtitle.
2501.5 Initial certification as a Health Home program is effective for a one (1)-year period. Certification shall remain in effect until it expires, is revoked or the provider is re-certified in accordance with Section 2502 of this chapter.
2501.6The Department’s certification shall specify the number of Health Home teams certified at each provider. A Health Home team can serve up to three hundred (300) individuals and consists of the following staff: Health Home Director, Primary Care Liaison, Nurse Care Manager (s) and Care Coordinators. No provider shall add additional Health Home teams unless the addition is approved by the Department.
2501.7Certification is not transferable to any other organization.
2501.8Nothing in these rules shall be interpreted to mean that certification is a right or an entitlement. Certification as a provider depends upon the Director’s assessment of the need for additional Health Home providers.
2501.9Corrective action plans and decertification of Health Home providers shall comply with the procedures set forth in Chapter 34 of this subtitle.