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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-A64. REIMBURSEMENT RATES FOR SERVICES PROVIDED BY THE DEPARTMENT OF BEHAVIORAL HEALTH CHAPTER 63 CERTIFIED SUBSTANCE USE DISORDER PROVIDERS |
Section 22-A6401. REIMBURSEMENT RATE
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6401.1Reimbursement for substance abuse services shall be as follows:
SERVICE
CODE
RATE per
UNIT
UNIT
Urinalysis (Laboratory)
H0003
15.00
Per service
Breathalyzer Collection
H0048
8.80
Per service
Urinalysis Collection
H0048LR
8.80
Per service
Case Management
H0006
21.97
15 min.
Case Management (HIV)
H0006HKHF
21.97
15 min.
Clinical Care Coordination
T1017HF
26.42
15 min.
Counseling, Group
H0005
8.00
15 min.
Counseling, Group, Psycho-educational
H2027HQ
6.65
15 min.
Counseling, Group , Psycho-educational (HIV)
H2027HQHF
6.65
15 min.
Counseling, Individual, On-site, Behavioral Health Therapy
H0004HF
26.42
15 min.
Counseling, Individual, Off-site
H0004HFTN
27.45
15 min.
Counseling, Family with Client
H0004HFHR
26.42
15 min.
Counseling, Family without Client
H0004HFHS
26.42
15 min.
Crisis Intervention
H0007HF
36.93
15 min.
Short-term MMIWM
H0010
605.00
Per diem
Behavioral Health Screening, Initial, Determine eligibility
H0002HF
85.34
Per service
Behavioral Health Assessment, on-going, Risk Rating
H0002TG
140.00
Per service
Diagnostic Assessment, Comprehensive, Adult
H0001
256.02
Per service
Diagnostic Assessment, Brief, Modify Tx Plan
H0001TS
85.34
Per service
Medication Assisted Treatment, Methadone, Clinic or Take Home
H0020
8.58
Dose
Medication Assisted Therapy, Administration
H0020HF
8.58
Per
Service
Medication Management, Adult
H0016
44.65
15 min.
Multi-systemic Therapy for Transition Age Youth (TAY) (ACRA) (ages 21 – 24)
H2033HF
57.42
15 min.
Residential Treatment, Room & Board
H0043
72.90
Per diem
Residential Treatment, Room & Board, Woman w/1 child
H0043UN
210.00
Per diem
Residential Treatment, Room & Board, Woman w/2 children
H0043UP
215.00
Per diem
Residential Treatment, Room & Board, Woman w/3 children
H0043UQ
220.00
Per diem
Residential Treatment, Room & Board, Women w/4 or more children
H0043UR
225.00
Per diem
Recovery Support Evaluation, Alcohol/drug Assessment
H0001HF
85.34
Per service
Case Management, Recovery Support
T1017
21.97
15 min.
Environmental Stability, Supported Housing, Individual
H0044HF
849.00
Per month
Environmental Stability, Supported Housing, Woman w/children
H0044HFUN
1000.00
Per month
Prevention Education Service, Recovery Mentoring, Coaching
H0025HF
21.97
15 min.
Training and Skills Development, Life Skills, Individual
H2014
21.97
15 min.
Training and Skills Development, Life Skills, Adult, Group
H2014HQ
6.65
15 min.
Substance Use Disorder Services NOS, Spiritual Support Group
H0047HF
6.65
15 min.
PsychoSocial Rehabilitative Service, Recovery Social Activities, Group
H2017HQ
6.65
15 min.
PsychoSocial Rehabilitative Service, Education Services, Individual
H2017HF
21.97
15 min.
PsychoSocial Rehabilitative Service, Education Services, Group
H2017HFHQ
6.65
15 min.