D.C. Mun. Regs. tit. 29, r. 29-5004

Current through Register 71, No. 45, November 7, 2024

Rule 29-5004 - REFERRALS

5004.1

Upon completion of the PCA Service Authorization, DHCF or its designated agent shall make a referral to the beneficiary's choice of a qualified Provider.

5004.2

A referral to a qualified Provider shall not be considered complete unless it includes all of the following:

(a) A copy of the physician or APRN's order for PCA services issued in accordance with Section 5006;

(b) A copy of the completed written face-to-face assessment of the beneficiary undertaken in accordance with Subsection 5003.3; and

(c) A copy of the completed PCA Service Authorization issued in accordance with Subsection 5003.4.

D.C. Mun. Regs. tit. 29, r. 29-5004

Final Rulemaking published at 50 DCR 3957 (May 23, 2003); as amended by Notice of Final Rulemaking published at 59 DCR 1760, 1769 (March 2, 2012); as amended by Final Rulemaking published at 60 DCR 15537 (November 8, 2013); amended by Final published at 63 DCR 014134 (11/18/2016)

Notice of Final Rulemaking published at 59 DCR 1760 (March 2, 2012) repealed and replaced the Chapter 50 (Medicaid Reimbursement for Personal Care Services) with a new Chapter 50 with the same name.

Authority: 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.774; D.C. Official Code § 1-307.02 (2012 Repl.)) 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) (2012 Repl.)).