4507. PRIMARY CARE SERVICES

4507 PRIMARY CARE SERVICES 4507.1 Covered primary care services provided by the FQHC shall be limited to the following services: Health services related to family medicine, internal medicine, pediatrics, obstetrics (excluding services related to birth and delivery), and gynecology which include but are not limited to: Health management services and treatment for illness, injuries or chronic conditions (examples of chronic conditions include diabetes, high blood pressure, etc.) including but not limited to health education and self-management training; Services provided pursuant to the Early and Periodic Screening, Diagnostic and Treatment benefit for Medicaid eligible children under the age of twenty-one (21); Preventive fluoride varnish for children, provided the service is furnished during a well-child visit by a physician or pediatrician who is acting within the scope of practice authorized pursuant to District of Columbia Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201 et seq. (2012 Repl. & 2016 Supp.)) (“HORA”). Preventive and diagnostic services, including but not limited to the following: Prenatal and postpartum care rendered at an FQHC, excluding labor and delivery; Lactation consultation, education and support services if provided by a certified nurse mid-wife licensed in accordance with HORA and certified by the International Board of Lactation Consultant Examiners (IBLCE) or a registered lactation consultant certified by IBLCE; Physical exams; Family planning services; Screenings and assessments, including but not limited to, visual acuity and hearings screenings, and nutritional assessments and referrals; Risk assessments and initial counseling regarding risks for clinical services; PAP smears, breast exams and mammography referrals when provided as part of an office visit; and Preventive health education. 4507.2 Primary care services set forth in this Subsection 4507.1(a) shall be delivered by the following health care professionals who are licensed in accordance with HORA: A physician; An Advanced Practiced Registered Nurse (APRN); A physician assistant working under the supervision of physician; or A nurse-mid-wife. SOURCE: Final Rulemaking published at 65 DCR 0907 (February 2, 2018). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 4507