D.C. Mun. Regs. tit. 29, § 4238
Program Services:assisted Living Services
Authority: 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 54 DCR 9165 (September 21, 2007); 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
4238 REIMBURSEMENT RATES: ASSISTED LIVING SERVICES
4238.1 The reimbursement rate for assisted living services shall be sixty dollars ($60.00) per day.
4238.2 The rate is an all-inclusive rate for all services provided as set forth in section 4240. The reimbursement does not include room and board. Residents may seek subsidies outside of the Home and Community Based Waiver for Persons who are Elderly and Individuals with Physical Disabilities (EPD Waiver) to pay for room and board.
4238.3 A provider shall not bill assisted living services concurrently with the following EPD Waiver services:
(a) Case management services;
(b) Personal emergency response system services;
(c) Respite services; or
(d) Environmental accessibility adaptations services.
SOURCE: Final Rulemaking published at 54 DCR 9165 (September 21, 2007).