Section 29-5200. GENERAL PROVISIONS

 

5200.1The purpose of this Chapter is to establish standards governing Medicaid reimbursement for Mental Health Rehabilitative Services (MHRS) provided by MHRS providers certified by the Department of Mental Health (DMH).

 

5200.2DMH and each MHRS provider shall enter into a provider agreement with the Department of Health, Medical Assistance Administration (MAA), for the provision of MHRS.

 

5200.3The provider agreement shall specify the services to be provided, methods of operation, financial and legal requirements, and identification of the population to be served.

 

5200.4Each MHRS provider shall comply with the certification standards set forth in Chapter 34 of Title 22A District of Columbia Municipal Regulations (DCMR).

 

5200.5DMH and each MHRS provider shall comply with all applicable provisions of District and federal law and rules pertaining to Title XIX of the Social Security Act, and all District and federal law and rules applicable to the service or activity provided pursuant to these rules.

 

5200.6In accordance with section 1902(a)(3) of the Social Security Act, DMH shall ensure that each client has free choice of qualified providers.

 

authority

Pursuant to the authority set forth in 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), and 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)).

source

Final Rulemaking published at 49 DCR 4860 (May 24, 2002); as amended by Final Rulemaking at 56 DCR 4098 (May 22, 2009).