D.C. Mun. Regs. tit. 22-A, § 5302
5302.1 The rates for reimbursement are as set forth below:
| CODE | SERVICE | RATE | UNIT | UNITS AUTHORIZED |
|---|---|---|---|---|
| H0032HK | Mental Health Service – Continuity of Care Treatment Planning, Institution for all MHRS consumers (MHS-CTPI) | $21.97 | 15 minutes | Up to 24 units within 180 days without prior authorization for continuity of care services |
| H0032 | Mental Health Service – Discharge Treatment Planning, Institution for all consumers except those in ACT or CBI (MHS-DTPI) | $21.97 | 15 minutes | Based on medical necessity at time of authorization, for discharge planning. |
| H0046HT | Mental Health Service – Discharge Treatment Planning, Institution - | $38.04 | 15 minutes | Based on medical necessity at time of authorization for discharge planning. |
| ACT consumers (MHS- DTPI(ACT)) | ||||
|---|---|---|---|---|
| H0046HTHA | Mental Health Service – Discharge Treatment Planning, Institution – CBI consumers (MHS-DTPI (CBI)) | $35.74 | 15 minutes | Based on medical necessity at time of authorization for discharge planning. |
| H0037 | Community Psychiatric Supportive Treatment Program – Rehab/Day Services (CPS – Rehab/Day) | $123.05 | Per day, at least 3 hours | Based on medical necessity at time of authorization; only within sixty (60) days of discharge unless pursuant to court order. |
SOURCE: Final Rulemaking published at 61 DCR 3787 (April 11, 2014).