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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 5. EDUCATION |
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SubTilte 5-A. OFFICE OF THE STATE SUPERINTENDENT OF EDUCATION |
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Chapter 5-A31. EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES |
Section 5-A3113. EARLY INTERVENTION (EI) SERVICES RATES
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3113.1The Lead Agency shall establish and publish on an annual basis, or more frequently if necessary, maximum rates to be paid for early intervention services consistent with this chapter.
3113.2The following schedule shall be used to determine rate of payment for services in the Early Intervention Service System.
Services
Procedure Codes
Rate
Assistive Technology Services
DME Procedure Codes
Varies depending on code
Assessments for Service Planning
T1023 R1 (RC1)
T1023 R2 (RC2)
$37.50/15 min
$28.50/ 15 min
Audiology
G0153 GP (group)
$25.13/15 min
G0153 R1 (individual RC1)
G0153 R2 (individual RC2)
$37.50/15 min
$28.50/15 min
Developmental Therapy
T1027 R2 (individual RC2)
$27.50/15 min
Developmental Therapy – Applied Behavioral Analysis Method
T1027 R1 (individual RC1)
T1027 R2 (individual RC2)
T1027 GP (group)
$31.25/15 min
$27.50/15 min
$18.43/15 min
Group Therapy (two (2) or more children)
T1027 GP (group)
$18.43/15 min
Nursing Services
G0154 U1 (individual)
$37.50/15 min
G0154 GP (group)
$25.13/15 min
Nutrition Services
97802 R2 (initial)
$30.41/15 min
97803 R2 (subsequent)
$26.49/15 min
97804 R2 (group)
$13.32/15 min
Occupational Therapy
G0152 U1 (individual)
$37.50/15 min
G0152 GP (group)
$25.13/15 min
Social Work Services
90806
$70.94/50 min
90846
$71.06/50 min
Psychological Services
90802
$146.76/dx interview
90804
$54.06/30 min
90806
$70.94/50 min
90808
$103.32/80 min
90810
$55.23/30 min
96111
$108.22
Physical Therapy
G0151 U1 (individual RC1)
G0151 U1 (individual RC2)
$37.50/15 min
$28.50/15 min
G0151 GP (group)
$25.13/15 min
Speech-Language Pathology
G0153 U1 (individual RC1)
G0153 U1 (individual RC2)
$37.50/15 min
$28.50/15 min
G0153 GP (group)
$25.13/15 min
Team Treatment Activities (more than one professional providing services during same session for an individual child/family)
T1024 R1 (individual RC1)
$37.50/15 min
Vision Services/Orientation & Mobility
V2799 R2 (individual R2)
$37.50/15 min
*Reimbursement Category 1 (RC 1) providers are physical therapists, occupational therapists, speech-language pathologists, nurses (registered nurses or nurse practitioners), psychologists, board certified behavior analysts (BCBAs), audiologists, certified assistive technology specialists, and certified auditory verbal therapists or educators.
*Reimbursement Category 2 (RC 2) providers are physical therapy assistants, occupational therapy assistants, speech language pathology assistants, certified therapeutic recreational specialists, counselors, special educators, dietitians, family therapists, orientation and mobility specialists, social workers certified nurse aides, licensed practical nurses, ABA paraprofessionals, and board certified assistant behavior analysts (BCaBAs).
**Per professional.
3113.3The Lead Agency may, in its sole discretion, adjust a rate specified in this chapter, based upon identification and documentation of unique or highly specialized need of a child that cannot be addressed and funded at the rates annually established by the Lead Agency.