Section 29-909. SCREENING, DIAGNOSTIC AND PREVENTIVE SERVICES

 

909.1In accordance with Section 1905(a)(13) of the Social Security Act (“the Act”) (42 U.S.C. § 1396d(a)(13)), each beneficiary may be eligible to receive the following screening, diagnostic, and preventive services subject to the requirements set forth in these rules:

 

(a) Services assigned a grade of A or B (i.e., indicated as strongly recommended or recommended) by the United States Preventive Services Task Force;

 

(b) Indicated vaccines recommended by the Advisory Committee on Immunization Practices and approved for use by the United States Food and Drug Administration;

 

(c) Preventive care and screening of infants, children and adults as recommended by the Bright Futures Program of the Health Resources and Services Administration; and

 

(d) Age appropriate services for women, as recommended by the Institute of Medicine.

 

909.1 Services described in § 909.1 shall in no way diminish access to the Early and Periodic Screening, Diagnostic, and Treatment services authorized by Section 1905(r) of the Act (42 U.S.C. § 1396d(r)) for beneficiaries ages zero (0) through twenty-one (21).

 

909.2 All services authorized under this section shall be recommended by a physician or other licensed practitioner of the healing arts acting within the authorized scope of practice under the Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1201.01 et seq.), and implementing rules, or comparable law in the state where the provider is licensed.

 

909.99For purposes of this section, the following terms shall have the meaning ascribed:             

Beneficiary – An individual enrolled in a medical assistance program, authorized under Titles XIX or XXI of the Social Security Act.

 

Indicated vaccines – Recommended age groups and medical indications for which administration of currently licensed vaccines is commonly recommended.

 

 

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. & 2013 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 61 DCR 4154 (April 25, 2014).