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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-A62. REIMBURSEMENT RATES FOR SERVICES PROVIDED BY THE DEPARTMENT OF BEHAVIORAL HEALTH CERTIFIED SUBSTANCE ABUSE PROVIDERS |
Section 22-A6201. REIMBURSEMENT RATE
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6201.1Reimbursement for substance abuse services shall be as follows:
SERVICE
CODE
RATE per UNIT
Urinalysis (Laboratory)
H0003
15.00
Breathalyzer Collection
H0048
8.80
Urinalysis Collection
H0048 LR
8.80
Case Management
H0006
20.02
Case Management (HIV)
H0006V9
20.02
Treatment Planning
T1007
22.00
Treatment Planning - Complex IP
T1007TG
24.00
Targeted Case Management (Clinical Care Coordination)
T1017HF
22.50
Counseling Group
H0005
10.45
Counseling Group - Psycho-educational
H2027
3.51
Counseling Group - Psycho-educational (HIV)
H2027V9
3.51
Counseling On-site - Behavioral Health Therapy
H0004
26.42
Counseling, Off-site
H0004HFTN
27.45
Counseling,
Family with Client
H0004HR
26.42
Counseling, Family without Client
H0004HS
26.42
Crisis Intervention
H0007HF
36.93
CS Peer Support Group - Substance Abuse
H0038HFHQ
6.65
CS Peer Support - Substance Abuse
H0038HF
21.97
Detoxification - Outpatient - Ambulatory
H0014
24.53
Detoxification - Residential - Acute care
H0010
605.00
Behavioral Health Screening - Determine eligibility
H0002HF
85.34
Behavioral Health Screening - Evaluate Risk Rating
H0002TG
140.00
Diagnostic Assessment – In-depth - Adult
H0001HF
256.02
Diagnostic Assessment - Ongoing - Modify Tx Plan
H0001TS
85.34
Diagnostic Assessment - In-depth Exam - Youth
H0001HA
256.02
Diagnostic Assessment - Ongoing Follow-up - Youth
H0001HATS
85.34
Intensive Outpatient - All Inclusive
H0015
74.25
Intervention - Substance Abuse Recognition
H0022
27.17
Dose - Methadone - Clinic or Take-Home
H0020
8.58
Medication Assisted Therapy
H0020HF
8.58
Medication Management - Adult
H0016HF
44.65
Medication Management - Youth
H0016HAHF
44.65
Multisystemic Therapy for Juveniles (ACRA) (ages 21 – 24)
H2033HF
57.42
Multisystemic Therapy for Juveniles (ACRA) (ages 12 – 20)
H2033HAHF
57.42
Outpatient Therapy - Intensive
H0015HA
164.61
Prenatal Care, at-risk Assessment
H1000
142.56
Prenatal Care, at-risk enhanced service - Ante-partum Management
H1001
80.08
Prenatal Care, at-risk enhanced service - Care Coordination
H1002
80.08
Prenatal Care, at-risk enhanced service - Education
H1003
80.08
Prenatal Care, at-risk enhanced service - follow-up Home Visit
H1004
100.76
Residential - Long term Therapeutic
H0019
132.55
Residential - Long term Room & Board
H0043
72.90
Residential – Youth Room and Board
H0043HA
167.40
Residential Treatment - Inclusive
H0018
136.84
Residential Treatment – Inclusive (Youth)
H0018HA
197.60
Residential Treatment – Inclusive (HIV)
H0018V9
136.84
Residential Per Diem - Women w/1 child
H0043UN
210.00
Residential Per Diem - Women w/2 children
H0043UP
215.00
Residential Per Diem - Women w/3 children
H0043UQ
220.00
Residential Per Diem - Women w/4 or more children
H0043UR
225.00
2010 Recovery Support Evaluation
2010
85.00
2090 Family and Marital Services - Individual
2090
140.00
2091 Family and Marital Services - Group
2091
50.00
3010 Parenting Services – Individual
3010
90.00
3011 Parenting Services – Group
3011
50.00
3020 Child Care (1 – 2 Children)
3020
15.00
3021 Child Care (3 or more children)
3021
30.00
3040 Care Coordination
3040
35.00
3051 Transportation (Public)
3051
65.00
4050 Environmental Stability – Individual
4050
212.25
4051 Environmental Stability – Women w/children
4051
250.00
5030 Recovery Mentoring/Coaching
5030
75.00
5040 Life Skills – Individual
5040
45.00
5041 Life Skills (Group Adult)
5041
25.00
5041 Life Skills (Group – Youth)
5041
50.00
5050 Spiritual Support Group
5050
50.00
6020 HIV/AIDS Education
6020
25.00
6030 Education Services – Individual
6030
75.00
6031 Education Services – Group
6031
50.00