3026 ALCOHOL AND DRUG ABUSE SERVICES FEES

3026.1 The following fees shall apply to alcohol and drug abuse services:

ALCOHOL AND DRUG ABUSE TREATMENT FEES

FULL CHARGES

TYPE OF SERVICE	DESCRIPTION	FEE
Admission	Processing a client into the APRA treatment system.	$50.00
Evaluation	An in-depth medical (Comprehensive Level) psychological, and social evaluation, including a review of the client's medical, personal and family history, and the interpretation of appropriate tests for the purpose of developing a comprehensive therapeutic program.	$210.00
Outpatient Treatment (All Inclusive)	Physician-supervised drug-free ambulatory substance abuse treatment services, including individual counseling, group counseling, psychological vocational rehabilitation, educational and other related services during a single visit day.	$12.00
Methadone Maintenance Treatment Services (All Inclusive)	Physician-supervised services, including dosage administration, monitoring and adjustment per individual treatment session, group treatment session, and other medical and medically-supervised services provided during a single visit day.	$15.00
Laboratory Testing	Urine analysis and other required studies to document treatment compliance.	$20.00
Inpatient Care	The full range of room and board services attendant to a 24-hour stay in a detoxification facility.	$200.00
Residential-Short Stay	The full range of room and board services attendant to a 24-hour stay in a residential treatment facility where the average length of stay is thirty (30) days or less.	$250.00
Residential-Long Stay	The full range of room and board services attendant to a 24-hour stay in a non-medical, residential treatment facility where the average length of stay is six (6) months or more.	$65.00
Residential-Pregnant Women and Children	The full range of room and board services attendant to a 24-hour stay in a medical residential treatment facility for pregnant women and their children.	$275.00
Transitional Housing	The full range of room and board services attendant to a 24-hour stay in a halfway house facility.	$70.00
Aftercare Vocational Services	Comprehensive vocational assessment and skills training services.	$80.00
Aftercare Community-Based Services	Services provided at community-based centers to assist a client to transition out of formal treatment.	$15.00

3026.2 The fees set forth in §3026.1 shall not be billed to Medicaid or Medicare patients. Third-party insured patients shall be responsible for any applicable co-payment or deductible. Self-pay patients who qualify on the basis of income shall pay a percentage of these fees according to the sliding fee scale below.

ADDICTION, PREVENTION AND RECOVERY ADMINISTRATION

SLIDING FEE SCALE

(CHARGES BASED UPON INCOME AND FAMILY SIZE)

Family Size	A ($)	B ($)	C ($)	D ($)	E ($)	F ($)	G ($)	H ($)	I ($)	J ($)	K ($)	L ($)	M ($)
1	under 6,620	6,620 8,827	8,828 11,033	11,034 13,240	13,241 15,240	15,241 17,241	17,242 19,242	19,243 21,243	21,244 23,244	23,245 25,245	25,246 30,246	30,247 35,247	over 35,248
2	under 8,880	8,880 11,840	11,841 14,800	14,801 17,760	17,761 19,760	19,761 21,761	21,762 23,762	23,763 25,763	25,764 27,764	27,765 29,765	29,766 34,766	34,767 39,767	over 39,768
3	under 11,140	11,140 14,853	14,854 18,567	18,568 22,280	22,281 24,280	24,281 26,281	26,282 28,282	28,283 30,283	30,284 32,284	32,285 34,285	34,286 39,286	39,287 44,287	over 44,288
4	under 13,400	13,400 17,867	17,868 22,333	22,334 26,800	26,801 28,800	28,801 30,801	30,802 32,802	32,803 34,803	34,804 36,804	36,805 38,805	38,806 43,806	43,807 48,807	over 48,808
5	under 15,660	15,660 20,880	20,881 26,100	26,101 31,320	31,321 33,320	33,321 35,321	35,322 37,322	37,323 39,323	39,324 41,324	41,325 43,325	43,326 48,326	48,327 53,327	over 53,328
6	under 17,920	17,920 23,893	23,894 29,867	29,868 35,840	35,841 37,840	37,841 39,841	39,842 41,842	41,843 43,843	43,844 45,844	45,845 47,845	47,846 52,846	52,847 57,847	over 57,848
7	under 20,180	20,180 26,907	26,908 33,633	33,634 40,360	40,361 42,360	42,361 44,361	44,362 46,362	46,363 48,363	48,364 50,364	50,365 52,365	52,366 57,366	57,367 62,367	over 62,368
8	under 22,440	22,440 29,920	29,921 37,400	37,401 44,880	44,881 46,880	46,881 48,881	48,882 50,882	50,883 52,883	52,884 54,884	54,885 56,885	56,886 61,886	61,887 66,887	over 66,888
9	under 24,700	24,770 32,933	32,934 41,167	41,168 49,400	49,401 51,400	51,401 53,401	53,402 55,402	55,403 57,403	57,404 59,404	59,405 61,405	61,406 66,406	66,407 71,407	over 71,408
10	under 26,960	26,960 35,947	35,948 44,933	44,934 53,930	53,920 55,920	55,921 57,921	57,922 59,922	59,923 61,923	61,924 63,924	63,925 65,925	65,926 70,926	70,927 75,927	over 75,928

ALCOHOL AND DRUG ABUSE SERVICES ADMINISTRATION

PER VISIT/PER PATIENT DAY

SLIDING FEE SCALE

(ACTUAL FEES BASED ON INCOME AND FAMILY SIZE)

CATEGORY (Ambulatory)	A ($)	B ($)	C ($)	D ($)	E ($)	F ($)	G ($)	H ($)	I ($)	J ($)	K ($)	L ($)	M ($)
ADMISSION	5	5	10	15	20	25	30	35	40	45	50	50	50
EVALUATION (COMPREHENSIVE LEVEL)	5	21	42	63	84	105	126	147	168	189	210	210	210
OUTPATIENT (ALL INCLUSIVE EXCLUDING LAB)	5	5	5	5	5	5	6	7	8	9	10	11	12
METHADONE MAINTENANCE (ALL INCLUSIVE)	5	5	5	5	5	5	6	7	8	9	10	12	15
LABORATORY TESTING	1	2	4	5	7	9	11	13	14	18	20	20	20
AFTERCARE AND VOCATIONAL	5	5	5	5	5	5	5	5	5	5	5	5	5

CATEGORY (24-HOUR)	A ($)	B ($)	C ($)	D ($)	E ($)	F ($)	G ($)	H ($)	I ($)	J ($)	K ($)	L ($)	M ($)
INPATIENT (DETOX)	5	10	15	23	33	38	56	68	90	113	135	175	200

RESIDENTIAL SHORT STAY	5	5	10	15	20	35	55	80	125	160	200	225	250
RESIDENTIAL LONG STAY	5	5	5	6	7	8	10	16	22	35	42	46	65
RESIDENTIAL PREGNANT WOMEN AND CHILDREN	5	12	17	25	35	41	75	123	150	188	250	225	275
TRANSITION AL HOUSING	5	5	5	6	7	8	10	18	25	40	48	54	70

AUTHORITY: The authority for this section is the Fees for Clinical Services and Asbestos Abatement Act of 1984, D.C. Code, 2001 Ed. §44-731.

SOURCE: Final Rulemaking published at 42 DCR 3876 (July 28, 1995).