Section 29-4110. TERMINATION AND ALTERNATIVE SANCTIONS FOR ICF/IID NONCOMPLIANCE

 

4110.1 In order to qualify for Medicaid reimbursement, intermediate care facilities for persons with intellectual and developmental disabilities (ICFs/IID) shall comply with federal conditions of participation (CoPs), pursuant to 42 C.F.R. §§ 483.400-483.480.  The CoPs include adherence to acceptable standards in the following areas: 

 

(a) Governing body and management;

 

(b) Client protections;

 

(c) Facility staffing;

 

(d) Active treatment services;

 

(e) Client behavior and facility practices;

 

(f) Health care services;

 

(g) Physical environment; and

 

(h) Dietetic services.

 

4110.2 An ICF/IID that fails to maintain compliance with the CoPs may be subject to alternative sanctions and/or termination of its participation in the Medicaid program.

 

 

authority

An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02 (2012 Repl. & 2014 Supp.)) and Section 6 (6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6)) (2012 Repl.).

source

Final Rulemaking published at 60 DCR 11590 (August 9, 2013); as amended by Final Rulemaking published at 61 DCR 12231 (November 28, 2014); as amended by Final Rulemaking published at 63 DCR 297 (January 8, 2016).