D.C. Mun. Regs. tit. 29, § 5208
Intensive Day Treatment
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
5208.1 Intensive Day Treatment (“IDT”) services and interventions consist of structured individual and group activities and therapies that are planned, goal-oriented, and provided under active psychiatric supervision.
5208.2 IDT shall:
- (a) Be billed in one (1) day units pursuant to criteria set forth in Chapter 34 of Title 22-A DCMR;
- (b) Require prior authorization;
- (c) Not be billed while a consumer is enrolled in ACT, unless otherwise authorized;
- (d) Not be billed on the same day as Medication Management, Counseling/Therapy, Rehabilitation Day Services, CBI, FFT, MST, TF-CBT, Trauma Recovery and Empowerment Services, or TST. While a consumer is enrolled in IDT, Clubhouse shall not be billed;
- (e) Be provided in a DBH-certified MHRS provider’s service site by Psychiatrists, Psychologists, LICSWs, APRNs, LISWs, LPCs, RNs, LMFTs, LGSWs, LGPCs, Psychology Associates, Physician Assistants, and credentialed staff under the supervision of a qualified practitioner licensed to practice independently.
5208.3 IDT providers shall not bill for Clinical Care Coordination (“CCC”) for a consumer on the same day as a consumer’s IDT encounter;
5208.4 Intensive Day Treatment shall be delivered in accordance with the requirements set forth in Chapter 34 of Title 22-A DCMR.
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).