3900.1 This chapter establishes the requirements and process for obtaining and maintaining certification to provide mental health rehabilitation services as a Psychosocial Rehabilitation Clubhouse (Clubhouse) in the District of Columbia. Clubhouse services:

1. (a) Are structured, specialty services provided primarily in a group rehabilitative setting;
2. (b) Utilize behavioral, cognitive or supportive interventions to improve a member's potential for establishing and maintaining social relationships and obtaining occupational or educational achievements; and
3. (c) Are provided in a collaborative environment where Clubhouse staff and members work side by side.

3900.2 Clubhouse participants are referred to collectively as "members" and each individually as a "member."

3900.3 Clubhouse members, with staff assistance, shall:

1. (a) Operate all aspects of the Clubhouse, including food service, clerical, reception, janitorial, and other member supports and services such as employment, housing, and education;
2. (b) Participate in the day-to-day decision-making and governance of the Clubhouse; and
3. (c) Plan community projects and activities to engage members in the community.

3900.4 Each Clubhouse shall be organized through a Work-Ordered Day in accordance with Clubhouse Standards. The goal of the Work-Ordered Day, including all Clubhouse decision-making opportunities and activities, shall be for the members to achieve or regain the confidence and skills necessary to lead vocationally-productive and socially-satisfying lives.

3900.5 A Clubhouse shall be:

1. (a) Organized and operated in accordance with the International Standards for Clubhouse Programs established by Clubhouse International, as amended from time to time;

(b) Certified by the Department as a Clubhouse in accordance with the requirements of this chapter;

(c) In compliance with the qualification standards described in § 3413 of this subtitle and the certification standards as required by this chapter, except an affiliation agreement with a CSA is not necessary for the provision of Clubhouse services; and

(d) Currently accredited by Clubhouse International as a Clubhouse, or during its first thirty (30) months of operation, have applied for Clubhouse International accreditation as a Clubhouse and be declared by Clubhouse International to be in reasonable compliance with the Clubhouse International accreditation action plan.

3900.6 A Clubhouse specialty provider shall establish and adhere to policies and procedures governing its relationship with a CSA, which address access to records, clinical responsibilities, legal liability, dispute resolution, and all other MHRS certification standards (CSA Referral Policy).

3900.7 A Clubhouse specialty provider shall establish and adhere to policies and procedures governing its collaboration with the referring CSA in the development, implementation, evaluation, and revision of each consumer's Plan of Care that comply with DBH rules (Collaboration Policy). The Collaboration Policy shall:

(a) Be a part of each Clubhouse's Plan of Care Review Policy;

(b) Require Clubhouse specialty providers to incorporate CSA-developed Diagnostic Assessment material into the Clubhouse specialty provider's Plan of Care process; and

(c) Require Clubhouse providers to coordinate the member's treatment with the member's primary treatment team.

3900.8 Each Clubhouse specialty provider shall offer access or referrals to core and other specialty services, as clinically indicated.

3900.9 Each Clubhouse specialty provider with total annual revenues at or exceeding three hundred thousand dollars ($300,000) shall have an annual audit by a certified public accounting firm in accordance with generally accepted auditing standards. The resulting financial audit report shall be consistent with formats recommended by the American Institute of Public Accountants. Each Clubhouse specialty provider shall submit a copy of the financial audit report to DBH ninety (90) days after the end of the fiscal year.

3900.10 Each Clubhouse specialty provider with total annual revenues less than three hundred thousand dollars ($300,000.00) shall submit financial statements reviewed by an independent certified public accountant or certified public accounting firm within one hundred twenty (120) calendar days after the end of its fiscal year.

3900.11 Each Clubhouse specialty provider shall have the capability to submit accurate claims, encounter data, and other submissions as necessary directly to the Department.

3900.12 DBH shall review and approve the CSA Referral Policy and the Collaboration Policy upon certification and recertification.

SOURCE: Emergency and Proposed Rulemaking published at 57 DCR 4010 (May 7, 2010)[EXPIRED]; as amended by Emergency and Proposed Rulemaking published at 57 DCR 7734 (August 20, 2010)[EXPIRED]; as amended by Final Rulemaking published at 57 DCR 8698, 8699 (September 24, 2010); as amended by Final Rulemaking published at 66 DCR 5638 (May 3, 2019); as amended by Final Rulemaking published at 67 DCR 10674 (September 4, 2020).