9405. SCREENING PROVIDERS DESIGNATED AS “MODERATE” RISK

9405 SCREENING PROVIDERS DESIGNATED AS “MODERATE” RISK 9405.1 Pursuant to 42 CFR § 455.450, the following provider types shall be assigned to the “moderate” risk category: Adult day health service providers under the 1915(i) State Plan option; Ambulance service suppliers; Community mental health centers; Comprehensive outpatient rehabilitation facilities; Hospice organizations; Independent clinical laboratories; Independent diagnostic testing facilities; Intermediate Care Facilities for Individuals with Intellectual Disabilities; Pharmacies; Portable x-ray suppliers; and Providers of Home and Community Based Services (HCBS) under a 1915(c) waiver, including but not limited to the Elderly and Persons with Physical Disabilities (EPD) Waiver and the Individuals with Intellectual and Developmental Disabilities (IDD) Waiver. 9405.2 Screening for providers designated as “moderate” risk shall include the following: Verification that the provider 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, including, where appropriate, the requirements of 42 CFR § 441.301(c); Verification of appropriate licensure, including licensure in states other than the District, in accordance with 42 CFR § 455.412; On-site visits conducted in accordance with 42 CFR § 455.432; and Both pre- and post-enrollment federal database checks in order to ensure the provider continues to meet the enrollment criteria that corresponds to its provider type, in accordance with 42 CFR § 455.436. 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 Municipal Regulations Public Welfare 29 DCMR § 9405