Section 22-A6402. REIMBURSEMENT RATE FOR CLIENTS WHO ARE DEAF OR HARD-OF-HEARING


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    6402.1Reimbursement for substance abuse services provided to clients who are deaf or hard-of-hearing by a provider certified to provide services to clients who are deaf or hard-of-hearing shall be as follows:

     

    SERVICE

    CODE

    RATE per

    UNIT

    UNIT

     

     

     

     

    Urinalysis (Laboratory)

    H0003HK

    15.00

    Per service

     

     

     

     

    Breathalyzer Collection

    H0048HK

    11.88

    Per service

     

     

     

     

    Urinalysis Collection

    H0048LRHK

    11.88

    Per service

     

     

     

     

    Case Management

    H0006HK

    29.66

    15 min.

     

    Case Management (HIV)

    H0006HKHFHV

    29.66

    15 min.

     

     

     

     

     Clinical Care Coordination

    T1017HFHK

    35.67

    15 min.

     

     

     

     

    Counseling, Group

    H0005HK

    10.80

    15 min.

     

     

     

     

    Counseling, Group, Psycho-educational

    H2027HQHK

    8.97

     

    15 min.

     

     

     

     

    Counseling, Group , Psycho-educational (HIV)

    H2027HQHFHK

    8.97

     

    15 min.

     

     

     

     

    Counseling, Individual, On-site, Behavioral Health Therapy

    H0004HFHK

    35.68

    15 min.

     

     

     

     

    Counseling, Individual, Off-site

     

    H0004HFTNHK

    37.06

    15 min.

     

     

     

     

    Counseling, Family with Client                           

    H0004HFHRHK

    35.68

    15 min.

     

     

     

     

    Counseling, Family without Client

    H0004HFHSHK

    35.68

    15 min.

     

     

     

     

    Crisis Intervention

    H0007HFHK

    49.85

    15 min.

     

     

     

     

    Short-term MMIWM

    H0010HK

    816.75

    Per diem

     

     

     

     

    Behavioral Health Screening, Initial, Determine eligibility

    H0002HFHK

    115.21

     

    Per service

     

     

     

     

    Behavioral Health Assessment, on-going, Risk Rating

    H0002TGHK

    189.00

    Per service

    Diagnostic Assessment, Comprehensive, Adult

    H0001HK

    345.63

    Per service

     

     

     

     

    Diagnostic Assessment, Brief, Modify Treatment Plan

    H0001TSHK

    115.21

    Per Service

     

     

     

     

    Medication Assisted Treatment, Methadone, Clinic or Take Home

    H0020HK

    8.58

     

     

    Dose

     

     

     

     

    Medication Assisted Therapy, Administration

    H0020HFHK

    11.58

     

    Service

     

     

     

     

    Medication Management, Adult

    H0016HK

    60.28

    15 min.

     

     

     

     

    Multi-systemic Therapy for Transition Age Youth (TAY) (ACRA) (ages 21 – 24)

    H2033HFHK

    77.52

     

     

    15 min.

     

     

     

     

    Residential Treatment, Room & Board

    H0043HK

    98.42

    Per diem

     

     

     

     

    Residential Treatment, Room & Board, Woman w/1 child

    H0043UNHK

    283.50

     

    Per diem

     

     

     

     

    Residential Treatment, Room & Board, Woman w/2 children

    H0043UPHK

    290.25

     

    Per diem

     

     

     

     

    Residential Treatment, Room & Board, Woman w/3 children

    H0043UQHK

    297.00

     

    Per diem

     

     

     

     

    Residential Treatment, Room & Board - Women w/4 or more  children

    H0043URHK

    303.75

    Per diem

     

     

     

     

    Recovery Support Evaluation, Alcohol/drug  Assessment

    H0001HK

    115.21

     

    Per service

     

     

     

     

    Case Management, Recovery Support

    T1017HFHK

     

    29.66

    15 min.

     

     

     

     

    Environmental Stability, Supported Housing, Individual

    H0044HFHK

    849.00

    Per month

     

     

     

     

    Environmental Stability, Supported Housing, Woman w/children

    H0044HFUNHK

    1000.00

     

     

    Per month

     

     

     

     

    Prevention Education Service, Recovery Mentoring, Coaching

    H0025HFHK

    29.66

     

    15 min.

     

     

     

     

    Training and Skills Development, Life Skills, Individual

    H2014HK

    29.66

    15 min.

     

     

     

     

    Training and Skills Development, Life Skills, Adult, Group

    H2014HQHK

    8.98

    15 min.

     

     

     

     

    Substance Use Disorder Services NOS, Spiritual Support Group

    H0047HFHK

    8.98

    15 min.

     

     

     

     

    PsychoSocial Rehabilitative Service, Recovery Social Activities, Group

     

    H2017HQHK

    8.98

    15              min.

     

     

     

     

    PsychoSocial Rehabilitative Service, Education Services, Individual

    H2017HFHK

    29.66

     

    15 min.

     

     

     

     

    PsychoSocial Rehabilitative Service, Education Services, Group

    H2017HFHQHK

    8.98

    15 min.

     

     

authority

Sections 5113, 5115, 5117 and 5118 of the Department of Behavioral Health Establishment Act of 2013, effective December 24, 2013 (D.C. Law 20-61; D.C. Official Code §§ 7-1141.02, 7-1141-04, 7-1141.06 and 7-1141.07 (2012 Repl.)).

source

Final Rulemaking published at 63 DCR 6936 (May 6, 2016).