3026. ALCOHOL AND DRUG ABUSE SERVICES FEES

3026 ALCOHOL AND DRUG ABUSE SERVICES FEES 3026.1 The following fees shall apply to alcohol and drug abuse services: ALCOHOL AND DRUG ABUSE TREATMENT FEES FULL CHARGES TYPE OF SERVICE DESCRIPTION FEE Admission Processing a client into the APRA treatment system. $50.00 Evaluation An in-depth medical (Comprehensive Level) psychological, and social evaluation, including a review of the client’s medical, personal and family history, and the interpretation of appropriate tests for the purpose of developing a comprehensive therapeutic program. $210.00 Outpatient Treatment (All Inclusive) Physician-supervised drug-free ambulatory substance abuse treatment services, including individual counseling, group counseling, psychological vocational rehabilitation, educational and other related services during a single visit day. $12.00 Methadone Maintenance Treatment Services (All Inclusive) Physician-supervised services, including dosage administration, monitoring and adjustment per individual treatment session, group treatment session, and other medical and medically-supervised services provided during a single visit day. $15.00 Laboratory Testing Urine analysis and other required studies to document treatment compliance. $20.00 Inpatient Care The full range of room and board services attendant to a 24-hour stay in a detoxification facility. $200.00 Residential-Short Stay The full range of room and board services attendant to a 24-hour stay in a residential treatment facility where the average length of stay is thirty (30) days or less. $250.00 Residential-Long Stay The full range of room and board services attendant to a 24-hour stay in a non-medical, residential treatment facility where the average length of stay is six (6) months or more. $65.00 Residential-Pregnant Women and Children The full range of room and board services attendant to a 24-hour stay in a medical residential treatment facility for pregnant women and their children. $275.00 Transitional Housing The full range of room and board services attendant to a 24-hour stay in a halfway house facility. $70.00 Aftercare Vocational Services Comprehensive vocational assessment and skills training services. $80.00 Aftercare Community-Based Services Services provided at community-based centers to assist a client to transition out of formal treatment. $15.00 3026.2 The fees set forth in §3026.1 shall not be billed to Medicaid or Medicare patients. Third-party insured patients shall be responsible for any applicable co-payment or deductible. Self-pay patients who qualify on the basis of income shall pay a percentage of these fees according to the sliding fee scale below. ADDICTION, PREVENTION AND RECOVERY ADMINISTRATION SLIDING FEE SCALE (CHARGES BASED UPON INCOME AND FAMILY SIZE) Family Size A ($) B ($) C ($) D ($) E ($) F ($) G ($) H ($) I ($) J ($) K ($) L ($) M ($) 1 under 6,620 6,620 - 8,827 8,828 - 11,033 11,034 - 13,240 13,241 - 15,240 15,241 - 17,241 17,242 - 19,242 19,243 - 21,243 21,244 - 23,244 23,245 - 25,245 25,246 - 30,246 30,247 - 35,247 over 35,248 2 under 8,880 8,880 - 11,840 11,841 - 14,800 14,801 -17,760 17,761 - 19,760 19,761 - 21,761 21,762 - 23,762 23,763 - 25,763 25,764 - 27,764 27,765 - 29,765 29,766 - 34,766 34,767 - 39,767 over 39,768 3 under 11,140 11,140 - 14,853 14,854 - 18,567 18,568 - 22,280 22,281 - 24,280 24,281 - 26,281 26,282 - 28,282 28,283 - 30,283 30,284 - 32,284 32,285 - 34,285 34,286 - 39,286 39,287 - 44,287 over 44,288 4 under 13,400 13,400 - 17,867 17,868 - 22,333 22,334 - 26,800 26,801 - 28,800 28,801 - 30,801 30,802 - 32,802 32,803 - 34,803 34,804 - 36,804 36,805 - 38,805 38,806 - 43,806 43,807 - 48,807 over 48,808 5 under 15,660 15,660 - 20,880 20,881 - 26,100 26,101 -31,320 31,321 - 33,320 33,321 - 35,321 35,322 - 37,322 37,323 - 39,323 39,324 - 41,324 41,325 - 43,325 43,326 - 48,326 48,327 - 53,327 over 53,328 6 under 17,920 17,920 - 23,893 23,894 - 29,867 29,868 - 35,840 35,841 - 37,840 37,841 - 39,841 39,842 - 41,842 41,843 - 43,843 43,844 - 45,844 45,845 - 47,845 47,846 - 52,846 52,847 - 57,847 over 57,848 7 under 20,180 20,180 - 26,907 26,908 - 33,633 33,634 - 40,360 40,361 - 42,360 42,361 - 44,361 44,362 - 46,362 46,363 - 48,363 48,364 - 50,364 50,365 - 52,365 52,366 - 57,366 57,367 - 62,367 over 62,368 8 under 22,440 22,440 - 29,920 29,921 - 37,400 37,401 - 44,880 44,881 - 46,880 46,881 - 48,881 48,882 - 50,882 50,883 - 52,883 52,884 - 54,884 54,885 - 56,885 56,886 - 61,886 61,887 - 66,887 over 66,888 9 under 24,700 24,770 - 32,933 32,934 - 41,167 41,168 - 49,400 49,401 - 51,400 51,401 - 53,401 53,402 - 55,402 55,403 - 57,403 57,404 - 59,404 59,405 - 61,405 61,406 - 66,406 66,407 - 71,407 over 71,408 10 under 26,960 26,960 - 35,947 35,948 - 44,933 44,934 - 53,930 53,920 - 55,920 55,921 - 57,921 57,922 - 59,922 59,923 - 61,923 61,924 - 63,924 63,925 - 65,925 65,926 - 70,926 70,927 - 75,927 over 75,928 ALCOHOL AND DRUG ABUSE SERVICES ADMINISTRATION PER VISIT/PER PATIENT DAY SLIDING FEE SCALE (ACTUAL FEES BASED ON INCOME AND FAMILY SIZE) CATEGORY (Ambulatory) A ($) B ($) C ($) D ($) E ($) F ($) G ($) H ($) I ($) J ($) K ($) L ($) M ($) ADMISSION 5 5 10 15 20 25 30 35 40 45 50 50 50 EVALUATION (COMPREHENSIVE LEVEL) 5 21 42 63 84 105 126 147 168 189 210 210 210 OUTPATIENT (ALL INCLUSIVE EXCLUDING LAB) 5 5 5 5 5 5 6 7 8 9 10 11 12 METHADONE MAINTENANCE (ALL INCLUSIVE) 5 5 5 5 5 5 6 7 8 9 10 12 15 LABORATORY TESTING 1 2 4 5 7 9 11 13 14 18 20 20 20 AFTERCARE AND VOCATIONAL 5 5 5 5 5 5 5 5 5 5 5 5 5 CATEGORY (24-HOUR) A ($) B ($) C ($) D ($) E ($) F ($) G ($) H ($) I ($) J ($) K ($) L ($) M ($) INPATIENT (DETOX) 5 10 15 23 33 38 56 68 90 113 135 175 200 RESIDENTIAL SHORT STAY 5 5 10 15 20 35 55 80 125 160 200 225 250 RESIDENTIAL LONG STAY 5 5 5 6 7 8 10 16 22 35 42 46 65 RESIDENTIAL PREGNANT WOMEN AND CHILDREN 5 12 17 25 35 41 75 123 150 188 250 225 275 TRANSITIONAL HOUSING 5 5 5 6 7 8 10 18 25 40 48 54 70 AUTHORITY: The authority for this section is the Fees for Clinical Services and Asbestos Abatement Act of 1984, D.C. Code, 2001 Ed. §44-731. SOURCE: Final Rulemaking published at 42 DCR 3876 (July 28, 1995).