5214.1 Trauma Systems Therapy (“TST”) is a comprehensive, phase-based model for treating traumatic stress in children and adolescents that adds to individually-based approaches by specifically addressing the child’s social environment and/or system of care.

5214.2 TST shall:

(a) Be billed in fifteen (15) minute units; and,

(b) Be delivered in accordance with the requirements set forth in Chapter 34 of Title 22-A DCMR.

5214.3 TST shall not be billed on the same day as Counseling/Therapy, Rehabilitation Day Services, IDT, or FFT. While enrolled in TST, CPP, and TF-CBT shall not be billed. TST shall not be billed while a consumer is enrolled in ACT, unless otherwise authorized.

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).