4508.1 Covered behavioral health services provided by an FQHC shall be limited to ambulatory mental health and substance abuse evaluation, treatment and management services identified by specific Current Procedural Terminology (CPT) codes. Such codes include psychiatric diagnosis, health and behavioral health assessment and treatment, individual and family therapy, and pharmacologic management. DHCF shall issue a transmittal to the FQHCs which shall include the specific CPT codes including any billing requirements for covered behavioral health services.

4508.2 Covered behavioral health services set forth in this section shall be delivered by the following health care professionals who shall be licensed and practice in accordance with District law and shall be certified by the Department of Behavioral Health when required by District law:

(a) A physician, including a psychiatrist;

(b) An APRN;

(c) A psychologist;

(d) A licensed independent clinical social worker (“LICSW”);

(e) A licensed independent social worker (“LISW”);

(f) A licensed graduate social worker, working under the supervision of an LICSW or LISW;

(g) A licensed professional counselor;

(h) A certified addiction counselor;

(i) A licensed marriage and family therapist; and

(j) A licensed psychology associate, working under the supervision of a psychologist or psychiatrist.

SOURCE: Final Rulemaking published at 65 DCR 0907 (February 2, 2018); as amended by Final Rulemaking published at 72 DCR 013719 (December 5, 2025).