Section 29-5004. REFERRALS

 

5004.1Upon completion of the PCA Service Authorization, DHCF or its designated agent shall make a referral to the beneficiary's choice of a qualified Provider.

 

5004.2A referral to a qualified Provider shall not be considered complete unless it includes all of the following:

 

(a) A copy of the physician or APRN’s order for PCA services issued in accordance with Section 5006;

 

(b) A copy of the completed written face-to-face assessment of the beneficiary undertaken in accordance with Subsection 5003.3; and

 

(c) A copy of the completed PCA Service Authorization issued in accordance with Subsection 5003.4.

 

 

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.774; D.C. Official Code § 1-307.02 (2012 Repl.)) 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 50 DCR 3957 (May 23, 2003); as amended by Final Rulemaking published at 59 DCR 1760, 1769 (March 2, 2012); as amended by Final Rulemaking published at 60 DCR 15537 (November 8, 2013); as amended by Final Rulemaking published at 63 DCR 14134 (November 18, 2016).