5000.1 These rules establish the standards and conditions of participation for home care agencies providing Medicaid reimbursable personal care aide (PCA) services under the District of Columbia Medicaid Program's State Plan for Medical Assistance (Medicaid State Plan).

5000.2 Medicaid reimbursable PCA services support and promote the following goals:

(a) To provide cueing, hands-on assistance, and safety monitoring during activities of daily living for beneficiaries who are unable to perform one or more activities of daily living;

(b) Adherence to the Joint Commission's National Patient Safety Goal standards, as described in DHCF policy published on the LTCA website at https://dhcf.dc.gov/page/long-term-care-administration; and

(c) To encourage home and community-based care as a preferred and cost-effective alternative to institutional care.

SOURCE: Final Rulemaking published at 50 DCR 3957 (May 23, 2003); as amended by Final Rulemaking published at 59 DCR 1760, 1761 (March 2, 2012); as amended by Final Rulemaking published at 60 DCR 15537 (November 8, 2013); as amended by Final Rulemaking published at 63 DCR 14134 (November 18, 2016); as amended by Final Rulemaking published at 64 DCR 10525 (October 20, 2017); as amended by Final Rulemaking published at 72 DCR 004996 (April 25, 2025).