D.C. Mun. Regs. tit. 29, § 9405
Screening Providers Designated as “Moderate” Risk
Effective Jul 12, 201360 DCR 10041Authority: An Act to enable the District of Columbia (District) 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 (2016 Repl. & 2019 Supp.)) and 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) (2018 Repl.)). Source: Final Rulemaking published at 60 DCR 10041 (July 12, 2013); as amended by Final Rulemaking published at 68 DCR 4255 (April 23, 2021).District of Columbia, Office of the Secretary
9405 SCREENING PROVIDERS OR SUPPLIERS CLASSIFIED AS “ MODERATE RISK”
9405.1 Pursuant to 42 C.F.R. § 455.450, the following provider and supplier types shall be classified within the “Moderate Risk” category:
- (a) Community Mental Health Centers (“CMHCs”);
- (b) Hospices;
- (c) Home and Community Based Services (“HCBS”) Waiver providers;
- (d) Intermediate Care Facilities for Individuals with Intellectual Disabilities (“ICFs/IID”); and
- (e) Pharmacies.
9405.2 Screening for providers or suppliers classified as “Moderate Risk” shall include the following:
- (a) Verification that the provider or supplier 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 C.F.R. § 455.412;
- (c) Both pre- and post-enrollment database checks in order to ensure the provider or supplier continues to meet the enrollment criteria that corresponds to its provider or supplier type, in accordance with 42 C.F.R. § 455.436; and
- (d) On-site visits conducted in accordance with 42 C.F.R. § 455.432.
SOURCE: Final Rulemaking published at 60 DCR 10041 (July 12, 2013).