4213.1 Reimbursement for respite services shall be limited to a total of seventeen (17) hours per day per beneficiary.

4213.2 Consistent with Section 4232, respite services shall be limited to a total of four hundred eighty (480) hours per year per beneficiary, unless the need for additional services is prior authorized by DHCF or its designee.

4213.3 DHCF shall not reimburse a provider of respite services for services provided by the waiver beneficiary's spouse, or other legally responsible relative or court-appointed guardian, with the exception of the parent of an adult child enrolled in the waiver. Non-legally responsible relatives, including parents of adult children, may provide and be reimbursed for respite services provided they meet the requirements of Section 4231.

4213.4 DHCF shall not reimburse for the cost of room and board except when provided as part of respite care furnished in a District-approved facility that is not a private residence.

4213.5 When respite is provided in a facility, including an assisted living facility, group home, or other Community Residential Facility, the facility must meet all HCBS settings requirements consistent with Section 4200.

SOURCE: Final Rulemaking published at 50 DCR 9025 (October 24, 2003); as amended by Final Rulemaking published at 64 DCR 6784 (July 21, 2017); as amended by Final Rulemaking published at 72 DCR 004996 (April 25, 2025).