Section 5-A2851. RATE SETTING - RESIDENTIAL COSTS (RESIDENTIAL SCHOOLS)

 

2851.1Psychiatric Residential Treatment Facilities (PRTFs). 

 

(a)The residential per diem rate for a residential nonpublic school or program that meets the District of Columbia’s Department of Health Care Finance (DHCF) requirements for a Psychiatric Residential Treatment Facility (PRTF) under 29 DCMR § 948, shall be determined by DHCF under 29 DCMR § 949 and any other applicable rules and regulations. 

 

(a) A PRTF shall submit invoices for all non-tuition costs, as directed by DHCF, for Medicaid-enrolled District of Columbia students with a  medical necessity determination from DMH.

 

(c) A PRTF providing services to District of Columbia students who are not

Medicaid-enrolled or who have not received a medical necessity certification from DMH, shall invoice OSSE at the same reimbursement rate applicable to District of Columbia Medicaid enrollees.

 

2851.2 All Other Residential Facilities.  Residential per diem rates (excludes all tuition and related services) for all nonpublic residential schools or programs that have not been certified as PRTFs by the District of Columbia shall be, at OSSE’s discretion:

 

(a) The residential per diem rate set by another state or political subdivision as the result of a rate-setting methodology that has been deemed reasonable by OSSE;

 

(b) The residential per diem rate the nonpublic school or program charges to the private-paying general public; or

 

(c) The supplemental special education residential add-on rate established by the UPSFF for a student enrolled in a District of Columbia public school.

 

authority

The State Superintendent of Education, pursuant to the authority set forth in sections 3(b)(8) and (11) of the State Education Office Establishment Act of 2000, effective October 21, 2000 (D.C. Law 13-176; D.C. Official Code § 38-2602(b)(8) and (11)) (Supp. 2010.); sections 101 et seq. of the Placement of Students with Disabilities in Nonpublic Schools Amendment Act of 2006, effective March 14, 2007 (D.C. Law 16-269; D.C. Official Code §§ 38-2561.01, et seq.) (Supp. 2010); Mayor’s Order 2007-149 (June 28, 2007); and Article II of An Act to provide for compulsory school attendance, and for other purposes, approved February 4, 1925 (43 Stat. 805; D.C. Official Code §§ 38-202 et seq.) (2001 & Supp. 2010).

source

Notice of Final Rulemaking published at 58 DCR 5442, 5455 (July 1, 2011).