D.C. Mun. Regs. tit. 29, § 4227
Specific Eligibility Requirements:personal Care Aide Services
Effective Jul 21, 201764 DCR 6784Authority: Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6)), An Act To enable the District of Columbia to receive Federal financial assistance under title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02), and Mayor’s Order 2024-115, dated July 1, 2024. 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).District of Columbia, Office of the Secretary
4227.1 To receive Medicaid reimbursement for personal care aide (PCA) services, the beneficiary shall first exhaust all available PCA hours provided under the State Plan for Medical Assistance (Medicaid State Plan).
4227.2 To be eligible for Medicaid reimbursement of PCA services under the EPD Waiver program, each beneficiary shall have an assessed need for PCA services as established by the conflict-free assessment that cannot be met by State Plan PCA services alone.
SOURCE: Final Rulemaking published at 50 DCR 9025 (October 24, 2003); as amended by Final Rulemaking published at 64 DCR 6784 (July 21, 2017).