Section 29-921. LEAD INVESTIGATIONS FOR MEDICAID-ELIGIBLE CHILDREN UNDER THE AGE OF TWENTY-ONE

 

921.1Medicaid reimbursement shall be available to the D.C. Department of the Environment (“DDOE”) or its agent(s) to conduct investigations that determine the source of lead contamination in the primary residence of Medicaid-eligible children under the age of twenty-one (21) who have been diagnosed with elevated blood lead levels.

 

921.2Reimbursement for an environmental investigation to identify lead contamination shall be limited to reimbursement for one (1) investigation per home where a Medicaid-eligible child who has been diagnosed with an elevated blood level resides.

 

921.3Reimbursement shall only be provided if the investigation was performed by a certified Lead Risk Assessor.

 

921.4The cost of testing of environmental substances identified during the on-site investigation shall not be reimbursable under this section.

 

921.5The reimbursement rate for an environmental investigation shall be $476.72 for one (1) visit which shall represent one (1) unit of service.

 

921.99 DEFINITIONS

 

For purposes of this section, the following terms shall have the meanings ascribed.

Risk Assessor – An individual who has been trained by an accredited training program and certified to conduct risk assessments (D.C. Official Code §§ 8-231.01 et seq.).

 

 

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.)).

source

Final Rulemaking published at 35 DCR 4011 (May 27, 1988); as amended by Final Rulemaking published at 53 DCR 2401 (March 31, 2006); as amended by Final Rulemaking published at 59 DCR 2298, 2299 (March 23, 2012); as amended by Final Rulemaking published at 61 DCR 6815 (July 4, 2014).