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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-A63. CERTIFICATION STANDARDS FOR SUBSTANCE USE DISORDER TREATMENT AND RECOVERY PROVIDERS |
Section 22-A6340. CORE SERVICE: SUBSTANCE USE DISORDER COUNSELING
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6340 CORE SERVICE: SUBSTANCE USE DISORDER COUNSELING
6340.1 SUD Counseling includes Individual, Family, Group, and Group-Psychoeducation Counseling.
6340.2 For providers with a Human Care Agreement with the Department, counseling shall be billed in increments of fifteen (15)-minute units, and a clinically appropriate combination of Individual, Family, Group, and Group-Psychoeducation counseling is limited to the following (the Department can approve additional units with justification):
(a)Level 1: Thirty-two (32) Units per week;
(b)Level 2: Eighty (80) Units per week; and
(c)Level 3: One hundred (100) Units per week.
6340.3 Individual Substance Use Disorder Counseling (Individual SUD Counseling or Individual Counseling) is a one-on-one, in-person counseling interaction between a client and an authorized Qualified Practitioner for the purpose of supporting the client's recovery. The aim of Individual SUD Counseling is to improve functioning and cultivate the awareness, skills, and supports to facilitate long-term recovery.
6340.4 Individual SUD Counseling addresses the specific issues identified in the treatment plan. Individual counseling:
(a)Shall be documented in an encounter note;
(b)Shall not be conducted within the same or overlapping time period as Medication Management;
(c)Shall not be considered or used as a Case Management service or activity; and
(d)Shall be performed by one of the following Qualified Practitioners:
(1) Qualified Physicians;
(2) Psychologists;
(3) LICSWs;
(4) LGSWs;
(5) APRNs,
(6) RNs;
(7) LISWs;
(8) LPCs;
(9) LGPCs (only for providers not operating under a Human Care Agreement);
(9) LMFTs; or
(10) CAC Is and CAC IIs.
6340.5 Group SUD Counseling (Group Counseling) facilitates disclosure of issues that permit generalization to a larger group; promotes help-seeking and supportive behaviors; encourages productive and positive interpersonal communication; and develops motivation through peer support, structured confrontation, and constructive feedback. The aim of counseling is to cultivate the awareness, skills, and supports to facilitate long-term recovery. Group SUD Counseling helps clients develop appropriate psychosocial, personal, parenting, and family skills needed to facilitate long-term recover. The following provisions apply to Group SUD Counseling:
(a)Group SUD Counseling addresses the specific issues identified in the treatment plan;
(b)The focus of the group SUD counseling session shall be driven by the participant;
(c)A maximum of fifteen (15) individuals may participate in a single Group SUD Counseling session;
(d)Group SUD Counseling shall not be billed during recreational activities; and
(e)Group SUD Counseling shall be performed by the following Qualified Practitioners:
(1) Qualified Physicians;
(2) Psychologists;
(3) LICSWs;
(4) LGSWs;
(5) APRNs;
(6) RNs;
(7) LISWs;
(8) LPCs;
(9)LGPCs (only for providers not operating under a Human Care Agreement);
(9) LMFTs; or
(10) CAC Is and CAC IIs.
6340.6 Group SUD Counseling-Psychoeducation promotes help-seeking and supportive behaviors by working in partnership with clients to impart current information and facilitate group discussion through lecture, audio-visual presentations, handouts, etc. to assist with developing coping skills that support recovery and encourage problem-solving strategies for managing issues posed by SUDs. This service should also address HIV, STDs, and other infectious diseases; clients are not required to have one of these diseases to receive this education. Group Counseling-Psychoeducation requires the following:
(a)The subject of the counseling must be relevant to the client’s needs as identified in his or her treatment plan;
(b)This service must include facilitated group discussion of the relevant topic or topics;
(c)An encounter note for each participant shall be completed, which documents the individual’s response to the group;
(d)A maximum of thirty (30) clients may participate in a single session; and
(e)Qualified Practitioners authorized to perform the service are:
(1) Qualified Physicians;
(2) Psychologists;
(3) LICSWs;
(4) LGSWs;
(5) APRNs;
(6) RNs;
(7) LISWs;
(8) LPCs;
(9) LGPCs (only for providers not operating under a Human Care Agreement)
(10) LMFTs; and
(11) CAC Is and IIs.
6340.7 Family Counseling is a planned, goal-oriented therapeutic interaction between a Qualified Practitioner and the client’s family, with or without the client present. The aim of Family Counseling is to improve the individual’s functioning with his or her family and cultivate the awareness, skills, and supports to facilitate long-term recovery. Family Counseling must address specific issues identified in the treatment plan. The following provisions apply to Family Counseling:
(a)Family Counseling shall be documented using an encounter note; if the client is not present for the service, the note must explain how the session benefits the client;
(b)A service encounter note documenting Family Counseling shall clearly state the relationship of the participant(s) to the client;
(c)Family Counseling participants other than the client must meet the definition of “family member” in Section 6399; and
(d)Qualified Practitioners authorized to provide Family Counseling must be competent to work with families and must be:
(1) Qualified Physicians;
(2) Psychologists;
(3) LICSWs;
(4) LGSWs;
(5) APRNs;
(6) RNs;
(7) LISWs;
(8) LPCs;
(9) LGPCs (only for providers not operating under a Human Care Agreement)
(10) LMFTs; or
(11) CAC Is and IIs.