D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 26. INSURANCE, SECURITIES, AND BANKING |
SubTilte 26-A. INSURANCE |
Chapter 26-A19. INSURANCE COVERAGE FOR DRUG ABUSE, ALCOHOL ABUSE, AND MENTAL ILLNESS |
Section 26-A1903. CERTIFICATION OF NONHOSPITAL RESIDENTIAL FACILITIES AND OUT-PATIENT TREATMENT FACILITIES
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1903.1Pursuant to §7 of the Act, D.C. Code §35-2306, the Director shall certify each nonhospital residential facility and out-patient facility as a provider of treatment for drug abuse, alcohol abuse, mental illness, or any combination thereof.
1903.2An applicant for certification pursuant to this section shall submit the following information on a form prescribed by the Director:
(a)The name and address of the facility;
(b)The services for which the facility seeks certification;
(c)The identities of the owners of the facility;
(d)A description of the services provided by the facility;
(e)The number of staff and positions held by each;
(f)The number of persons served by the facility; and
(g)A listing of all other licenses or certifications held by the facility.
1903.3In order to be certified pursuant to this section, an applicant shall meet at least one of the following criteria:
(a)Possess current certification from the Joint Commission on Hospital Accreditation (JCHA) for the treatment of drug abuse, alcohol abuse, or mental illness;
(b)Be currently certified as eligible for Medicaid reimbursement as a free standing mental health clinic;
(c)Be currently certified by the U.S. Food and Drug Administration as meeting its standards for drug and alcohol outpatient treatment facilities;
(d)Be currently licensed under D.C. Law 5-48; or
(e)Be approved by the Director in accordance with the procedures set forth in §§1903.4 and 1903.5.
1903.4A nonhospital residential facility or outpatient facility applying for certification pursuant to §1903.3(e) shall submit proof to the Director that the facility meets the requirements of §7 of the Act, by providing the following documentation on a form prescribed by the Director:
(a)A physical description of the facility;
(b)A detailed description of the program offered;
(c)The specific qualifications, training, and experience of the director and all supervisory staff;
(d)The specific qualifications, training, and experience of all staff; and
(e)Any additional information required by the Director.
1903.5For facilities which apply pursuant to §§1902.3(e) and 1903.4, the Director shall make a case-by-case determination as to whether or not the facility meets the standards set forth in §7(c) of the Act. Prior to making the determination, the Director may make one or more inspections pursuant to §1903.6.
1903.6The Director shall have a right to inspect any facility certified or applying for certification pursuant to this section upon presentation of credentials of identification, with or without prior notice.
1903.7A certification issued pursuant to this section shall be for a period of one (1) year from the date of issuance.
1903.8A facility certified pursuant to this section shall apply for renewal of its certification at least thirty (30) days prior to its expiration on a form prescribed by the Director.