909. SCREENING, DIAGNOSTIC AND PREVENTIVE SERVICES

SCREENING, DIAGNOSTIC, AND PREVENTIVE SERVICES 909.1 In accordance with Section 1905(a)(13) of the Social Security Act (“the Act”) (42 U.S.C. § 1396d(a)(13)), each beneficiary may be eligible to receive the following screening, diagnostic, and preventive services subject to the requirements set forth in these rules: (a) Services assigned a grade of A or B (i.e., indicated as strongly recommended or recommended) by the United States Preventive Services Task Force; (b) Indicated vaccines recommended by the Advisory Committee on Immunization Practices and approved for use by the United States Food and Drug Administration; (c) Preventive care and screening of infants, children and adults as recommended by the Bright Futures Program of the Health Resources and Services Administration; and (d) Age appropriate services for women, as recommended by the Institute of Medicine. Services described in § 909.1 shall in no way diminish access to the Early and Periodic Screening, Diagnostic, and Treatment services authorized by Section 1905(r) of the Act (42 U.S.C. § 1396d(r)) for beneficiaries ages zero (0) through twenty-one (21). All services authorized under this section shall be recommended by a physician or other licensed practitioner of the healing arts acting within the authorized scope of practice under the Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1201.01 et seq.), and implementing rules, or comparable law in the state where the provider is licensed. 909.99 For purposes of this section, the following terms shall have the meaning ascribed: Beneficiary – An individual enrolled in a medical assistance program, authorized under Titles XIX or XXI of the Social Security Act. Indicated vaccines – Recommended age groups and medical indications for which administration of currently licensed vaccines is commonly recommended. SOURCE: Final Rulemaking published at 61 DCR 4154 (April 25, 2014). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 909