Public Notice: Medicaid Fee Schedule for Home and Community-Based Services Waiver for Individual and Family Support (IFS) | dmh – Executive Office of…

The Department of Health Care Finance (DHCF), in accordance with the requirements in 29 DCMR 988.4, announces publication of the Medicaid Fee Schedule setting forth the reimbursement rates, effective January 1, 2022, for services available to participants under the Home and Community-Based Services Waiver for the Individual and Family Support (IFS) Waiver.The Department on Disability Services (DDS), Developmental Disabilities Administration (DDA), operates the IFS Waiver under the supervision of DHCF. The IFS Waiver was approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), for a five-year period beginning November 1, 2020.

DHCF is identifying through this Public Notice the changes in the reimbursement rates for services rendered on or after January 1, 2022. The services are set forth in the approved IFS Waiver, are fully described in a new 29 DCMR Chapter 90 (Home and Community-Based Services Waiver for Individual and Family Support), and will be listed in the new 29 DCMR 9001, upon publication of the regulations in the D.C. Register. The new rates align with ID/DD waiver service rates and follow the same rate methodology, except for Education Support Services, which is a unique service to this waiver. The new rates include the 2022 D.C. Living Wage where required and are expressly subject to the service and other limitations described in the IFS Waiver and applicable rules.

DHCF is increasing the reimbursement rates for Sixteen (16) IFS Waiver services as follows: (1) Assistive Technology Services (29 DCMR 9015; cf. 29 DCMR 1941); (2) Behavioral Support Services (29 DCMR 9016; cf. 29 DCMR 1919); (3) Companion Services (29 DCMR 9017; cf. 29 DCMR 1939); (4) Creative Arts Therapies Services (29 DCMR 9018; cf. 29 DCMR 1918); (5) Day Habilitation Services (29 DCMR 9019; cf. 29 DCMR 1920); (6) Employment Readiness Services (29 DCMR 9022, cf. 29 DCMR 1922); (7) Family Training Services (29 DCMR 9023; cf. 29 DCMR 1924); (8) Individualized Day Supports Services (29 DCMR 9024; cf. 29 DCMR 1925); (9) In-Home Supports Services (29 DCMR 9025; cf. 29 DCMR 1916); (10) Occupational Therapy Services (29 DCMR 9026; cf. 29 DCMR 1926); (11) Parenting Supports Services (29 DCMR 9027; cf. 29 DCMR 1942); (12) Physical Therapy Services (29 DCMR 9029; cf. 29 DCMR 1928); (13) Respite Services (29 DCMR 9030; cf. 29 DCMR 1930); (14) Speech, Hearing and Language Services (29 DCMR 9032; cf. 29 DCMR 1932); (15) Supported Employment Services Individual and Small Group Services (29 DCMR 9033; cf. 29 DCMR 1933); and (16) Wellness Services (29 DCMR 9034; cf. 29 DCMR 1936).

For Personal Care Services (29 DCMR 9028; cf. 29 DCMR 1910) and Skilled Nursing Services (29 DCMR 9031; cf. 29 DCMR 1931), DHCF will reimburse providers at the rates set forth in the Medicaid Fee Schedule for the Medicaid State Plan.

These reimbursement rates for each service will be included on the Medicaid Fee Schedule for the ID/DD Waiver/IFS Waiver and will become effective January 1, 2022. These new rates do not replace the rates established in response to the Public Health Emergency. The Medicaid Fee Schedule for the ID/DD Waiver/IFS Waiver is located on the DHCF website at https://www.dc-medicaid.com/dcwebportal/nonsecure/feeScheduleDownload. For further information or questions regarding this fee schedule update, please contact Samuel Woldeghiorgis, Associate Director, Office of Rates, Reimbursement, and Financial Analysis, DHCF, at [emailprotected] or via telephone at (202) 442 9240.

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Public Notice: Medicaid Fee Schedule for Home and Community-Based Services Waiver for Individual and Family Support (IFS) | dmh - Executive Office of...