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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-A53. TREATMENT PLANNING SERVICES PROVIDED TO DEPARTMENT OF BEHAVIORAL HEALTH CONSUMERS IN INSTITUTIONAL SETTINGS - DESCRIPTION AND REIMBURSEMENT |
Section 22-A5302. REIMBURSEMENT RATE
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5302.1The rates for reimbursement are as set forth below:
CODE
SERVICE
RATE
UNIT
UNITS AUTHORIZED
H0032HK
Mental Health Service – Continuity of Care Treatment Planning, Institution for all MHRS consumers (MHS-CTPI)
$21.97
15 minutes
Up to 24 units within 180 days without prior authorization for continuity of care services
H0032
Mental Health Service – Discharge Treatment Planning, Institution for all consumers except those in ACT or CBI (MHS-DTPI)
$21.97
15 minutes
Based on medical necessity at time of authorization, for discharge planning.
H0046HT
Mental Health Service – Discharge Treatment Planning, Institution -ACT consumers (MHS-DTPI(ACT))
$38.04
15 minutes
Based on medical necessity at time of authorization for discharge planning.
H0046HTHA
Mental Health Service – Discharge Treatment Planning, Institution – CBI consumers (MHS-DTPI (CBI))
$35.74
15 minutes
Based on medical necessity at time of authorization for discharge planning.
H0037
Community Psychiatric Supportive Treatment Program – Rehab/Day Services (CPS – Rehab/Day)
$123.05
Per day, at least 3 hours
Based on medical necessity at time of authorization; only within sixty (60) days of discharge unless pursuant to court order.