4901.1 Persons eligible to receive rehab services shall be Medicaid recipients who meet the following qualifications:

1. (a) Are twenty (20) years of age or less;
2. (b) Are determined to be abused or neglected pursuant to the Prevention of Child Abuse and Neglect Act of 1997, effective September 23, 1997 (D.C. Law 2-22; D.C. Official Code § 4-1301.1 et seq); and
3. (c) Are enrolled in a comprehensive health care network with the capability to assure the timely provision of appropriate Early and Periodic Screening, Diagnosis, and Treatment (EPSDT).

4901.2 MAA may request additional information to determine whether the services provided are medical necessity.

SOURCE: Emergency Rulemaking published at 48 DCR 8872 (September 21, 2001) [EXPIRED]; as amended by Final Rulemaking published at 49 DCR 247 (January 11, 2002).