D.C. Mun. Regs. tit. 29, § 5006 – Program Requirements | Midpage

D.C. Mun. Regs. tit. 29, § 5006

Program Requirements

Effective Jul 2, 2012Authority: 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)), and in 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 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 68 DCR 001402 (January 29, 2021); as amended by Final Rulemaking published at 72 DCR 004996 (April 25, 2025); as amended by Final Rulemaking published at 73 DCR 007348 (May 15, 2026).District of Columbia, Office of the Secretary

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ELIGIBILITY REQUIREMENTS

5006.1

A Medicaid beneficiary who meets the following qualifications is eligible to receive PCA services:

(a) The Medicaid beneficiary has received an initial assessment from his or her primary care physician or advanced practice registered nurse and the assessment has found the beneficiary to be unable to independently perform one (1) or more activities of daily living for which personal care services are needed; and

(b) The referring primary care physician or advanced practice registered nurse has an expectation that the Medicaid beneficiary's health care needs can be safely, adequately, and appropriately met while the beneficiary resides in the beneficiary's home.

SOURCE: Final Rulemaking published at 50 DCR 3957 (May 23, 2003); as amended by Notice of Final Rulemaking published at 59 DCR 1760, 1772 (March 2, 2012).