Section 22-A3425. NON-REIMBURSABLE SERVICES

 

3425.1Services not covered as MHRS include, but are not limited to:

 

(a)Room and board residential costs;

 

(b)Inpatient hospital services, including hospital, nursing facility, intermediate care facility for the mentally retarded and institutions for mental diseases;

 

(c)Transportation services;

 

(d)Vocational services;

 

(e)School and educational services;

 

(f)Services rendered by parents or other family members;

 

(g)Socialization services;

 

(h)Screening and prevention services (other than those provided under Early and Periodic Screening, Diagnosis and Treatment requirements);

 

(i)Services which are not medically necessary as recommended in an approved IRP/IPC;

 

(j)Services which are not provided and documented in accordance with these certification standards;

 

(k)Services which are not mental health services; and

 

(l)Services furnished to persons other than the consumer when those services are not directed primarily to the well-being and benefit of the consumer.

 

source

Final Rulemaking published at 48 DCR 10297 (November 9, 2001); as amended by Final Rulemaking published at 51 DCR 9308 (October 1, 2004); as amended by Final Rulemaking published at 52 DCR 5682 (June 17, 2005).