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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-B. PUBLIC HEALTH AND MEDICINE |
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Chapter 22-B30. CENTRAL REFERRAL BUREAU; HEALTH CARE FEES |
Section 22-B3026. ALCOHOL AND DRUG ABUSE SERVICES FEES
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3026.1 The following fees shall apply to alcohol and drug abuse services:
ALCOHOL AND DRUG ABUSE TREATMENT FEES
FULL CHARGES
TYPE OF SERVICE
DESCRIPTION
FEE
Admission
Processing a client into the APRA treatment system.
$50.00
Evaluation
An in-depth medical (Comprehensive Level) psychological, and social evaluation, including a review of the client’s medical, personal and family history, and the interpretation of appropriate tests for the purpose of developing a comprehensive therapeutic program.
$210.00
Outpatient Treatment
(All Inclusive)
Physician-supervised drug-free ambulatory substance abuse treatment services, including individual counseling, group counseling, psychological vocational rehabilitation, educational and other related services during a single visit day.
$12.00
Methadone Maintenance Treatment Services
(All Inclusive)
Physician-supervised services, including dosage administration, monitoring and adjustment per individual treatment session, group treatment session, and other medical and medically-supervised services provided during a single visit day.
$15.00
Laboratory Testing
Urine analysis and other required studies to document treatment compliance.
$20.00
Inpatient Care
The full range of room and board services attendant to a 24-hour stay in a detoxification facility.
$200.00
Residential-Short Stay
The full range of room and board services attendant to a 24-hour stay in a residential treatment facility where the average length of stay is thirty (30) days or less.
$250.00
Residential-Long Stay
The full range of room and board services attendant to a 24-hour stay in a non-medical, residential treatment facility where the average length of stay is six (6) months or more.
$65.00
Residential-Pregnant Women and Children
The full range of room and board services attendant to a 24-hour stay in a medical residential treatment facility for pregnant women and their children.
$275.00
Transitional Housing
The full range of room and board services attendant to a 24-hour stay in a halfway house facility.
$70.00
Aftercare Vocational Services
Comprehensive vocational assessment and skills training services.
$80.00
Aftercare Community-Based Services
Services provided at community-based centers to assist a client to transition out of formal treatment.
$15.00
3026.2 The fees set forth in §3026.1 shall not be billed to Medicaid or Medicare patients. Third-party insured patients shall be responsible for any applicable co-payment or deductible. Self-pay patients who qualify on the basis of income shall pay a percentage of these fees according to the sliding fee scale below.
ADDICTION, PREVENTION AND RECOVERY ADMINISTRATION
SLIDING FEE SCALE
(CHARGES BASED UPON INCOME AND FAMILY SIZE)
Family
Size
A
($)
B
($)
C
($)
D
($)
E
($)
F
($)
G
($)
H
($)
I
($)
J
($)
K
($)
L
($)
M
($)
1
under 6,620
6,620 - 8,827
8,828 - 11,033
11,034 - 13,240
13,241 - 15,240
15,241 - 17,241
17,242 - 19,242
19,243 - 21,243
21,244 - 23,244
23,245 - 25,245
25,246 - 30,246
30,247 - 35,247
over
35,248
2
under
8,880
8,880 -
11,840
11,841 -
14,800
14,801 -17,760
17,761 - 19,760
19,761 - 21,761
21,762 - 23,762
23,763 - 25,763
25,764 - 27,764
27,765 - 29,765
29,766 - 34,766
34,767 - 39,767
over
39,768
3
under
11,140
11,140 -
14,853
14,854 -
18,567
18,568 - 22,280
22,281 - 24,280
24,281 - 26,281
26,282 - 28,282
28,283 - 30,283
30,284 - 32,284
32,285 - 34,285
34,286 - 39,286
39,287 - 44,287
over
44,288
4
under
13,400
13,400 -
17,867
17,868 -
22,333
22,334 - 26,800
26,801 - 28,800
28,801 - 30,801
30,802 - 32,802
32,803 - 34,803
34,804 - 36,804
36,805 - 38,805
38,806 - 43,806
43,807 - 48,807
over
48,808
5
under
15,660
15,660 -
20,880
20,881 -
26,100
26,101 -31,320
31,321 - 33,320
33,321 - 35,321
35,322 - 37,322
37,323 - 39,323
39,324 - 41,324
41,325 - 43,325
43,326 - 48,326
48,327 - 53,327
over 53,328
6
under
17,920
17,920 - 23,893
23,894 -
29,867
29,868 - 35,840
35,841 - 37,840
37,841 - 39,841
39,842 - 41,842
41,843 - 43,843
43,844 - 45,844
45,845 - 47,845
47,846 - 52,846
52,847 - 57,847
over 57,848
7
under
20,180
20,180 -
26,907
26,908 -
33,633
33,634 - 40,360
40,361 - 42,360
42,361 - 44,361
44,362 - 46,362
46,363 - 48,363
48,364 - 50,364
50,365 - 52,365
52,366 - 57,366
57,367 - 62,367
over
62,368
8
under
22,440
22,440 -
29,920
29,921 - 37,400
37,401 - 44,880
44,881 - 46,880
46,881 - 48,881
48,882 - 50,882
50,883 - 52,883
52,884 - 54,884
54,885 - 56,885
56,886 - 61,886
61,887 - 66,887
over
66,888
9
under
24,700
24,770 - 32,933
32,934 - 41,167
41,168 - 49,400
49,401 - 51,400
51,401 - 53,401
53,402 - 55,402
55,403 - 57,403
57,404 - 59,404
59,405 - 61,405
61,406 - 66,406
66,407 - 71,407
over
71,408
10
under
26,960
26,960 - 35,947
35,948 - 44,933
44,934 - 53,930
53,920 - 55,920
55,921 - 57,921
57,922 - 59,922
59,923 - 61,923
61,924 - 63,924
63,925 - 65,925
65,926 - 70,926
70,927 - 75,927
over 75,928
ALCOHOL AND DRUG ABUSE SERVICES ADMINISTRATION
PER VISIT/PER PATIENT DAY
SLIDING FEE SCALE
(ACTUAL FEES BASED ON INCOME AND FAMILY SIZE)
CATEGORY (Ambulatory)
A
($)
B
($)
C
($)
D
($)
E
($)
F
($)
G
($)
H
($)
I
($)
J
($)
K
($)
L
($)
M
($)
ADMISSION
5
5
10
15
20
25
30
35
40
45
50
50
50
EVALUATION
(COMPREHENSIVE LEVEL)
5
21
42
63
84
105
126
147
168
189
210
210
210
OUTPATIENT (ALL
INCLUSIVE EXCLUDING LAB)
5
5
5
5
5
5
6
7
8
9
10
11
12
METHADONE MAINTENANCE (ALL INCLUSIVE)
5
5
5
5
5
5
6
7
8
9
10
12
15
LABORATORY TESTING
1
2
4
5
7
9
11
13
14
18
20
20
20
AFTERCARE AND
VOCATIONAL
5
5
5
5
5
5
5
5
5
5
5
5
5
CATEGORY
(24-HOUR)
A
($)
B
($)
C
($)
D
($)
E
($)
F
($)
G
($)
H
($)
I
($)
J
($)
K
($)
L
($)
M
($)
INPATIENT (DETOX)
5
10
15
23
33
38
56
68
90
113
135
175
200
RESIDENTIAL SHORT STAY
5
5
10
15
20
35
55
80
125
160
200
225
250
RESIDENTIAL LONG STAY
5
5
5
6
7
8
10
16
22
35
42
46
65
RESIDENTIAL PREGNANT WOMEN AND CHILDREN
5
12
17
25
35
41
75
123
150
188
250
225
275
TRANSITIONAL HOUSING
5
5
5
6
7
8
10
18
25
40
48
54
70