9404.1 Pursuant to 42 CFR § 455.450, any provider not designated as “moderate” risk or “high” risk under §§ 9405 or 9406 shall be assigned to the “limited” risk category.

9404.2 Screening for providers designated as “limited” risk shall include the following:

(a) Verification that the provider meets requirements set forth in the D.C. Health Occupations Revision Act of 1985, as amended, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201.01 et seq.) and implementing rules, as well as all other applicable federal and District laws and regulations;

(b) Verification of appropriate licensure, including licensure in states other than the District, in accordance with 42 CFR § 455.412; and

(c) Both pre- and post-enrollment Federal database checks in order to ensure the provider continues to meet the enrollment criteria that corresponds to its provider type, in accordance with 42 CFR § 455.436.

SOURCE: Final Rulemaking published at 60 DCR 10041 (July 12, 2013); as amended by Final Rulemaking published at 68 DCR 4255 (April 23, 2021).