D.C. Mun. Regs. tit. 29, § 5202
Screening, Assessment, and Diagnostics
Effective Dec 5, 202572 DCR 013719Authority: 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 49 DCR 4860 (May 24, 2002); as amended by Final Rulemaking published at 69 DCR 012836 (October 21, 2022); as amended by Final Rulemaking published at 72 DCR 013719 (December 5, 2025).District of Columbia, Office of the Secretary
5202.1 Screening, Assessment, and Diagnostic Services include the following services:
- (a) Screening;
- (b) Initial Assessment;
- (c) Comprehensive Diagnostic Assessment; and
- (d) Ongoing Diagnostic Assessment.
5202.2 Services shall be reimbursed as follows:
- (a) Screening shall be reimbursed in five (5) minute units. A maximum of three (3) units may be billed during a single screening;
- (b) Assessments shall:
- (1) Be an average duration of sixty (60) minutes. A maximum of one (1) unit may be billed per occurrence;
- (2) Be rendered:
- (A) Upon the start of MHRS;
- (B) No more than once every ninety (90) days thereafter;
- (C) When a change in level of care occurs; or
- (D) Prior to a determination that MHRS is no longer needed.
5202.3 Screening, Assessment and Diagnostic services shall be delivered in accordance with the requirements set forth in Chapter 34 of Title 22-A DCMR.
5202.4 An ACT provider shall only be permitted to bill Screening, Assessment, and Diagnostic services if the ACT provider's assessment determines ACT services are not indicated for the consumer, otherwise, the ACT provider should bill for ACT services.
SOURCE: Final Rulemaking published at 49 DCR 4860 (May 24, 2002); as amended by Final Rulemaking published at 69 DCR 012836 (October 21, 2022); as amended by Final Rulemaking published at 72 DCR 013719 (December 5, 2025).