D.C. Mun. Regs. tit. 29, r. 29-9000
The purpose of this chapter is to establish criteria governing Medicaid eligibility for services under the Home and Community-Based Services (HCBS) Waiver for Individual and Family Support (IFS Waiver) and to establish conditions of participation for providers of Waiver services.
The Waiver is authorized pursuant to Section 1915(c) of the Social Security Act, approved by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services (CMS), and shall be effective through November 1, 2025, and any extensions thereof.
The Waiver shall be operated by the Department on Disability Services (DDS), Developmental Disabilities Administration (DDA), under the supervision of the Department of Health Care Finance (DHCF).
Enrollment of people eligible to receive Waiver services shall not exceed the ceiling established by the approved Waiver application.
Each provider shall be subject to the administrative procedures set forth in Chapter 13 of Title 29 of the District of Columbia Municipal Regulations (DCMR) during the provider's participation in the program.
Under the IFS Waiver, the District's aggregate spending will be limited to seventy-five thousand ($75,000) per person per Individual Support Plan (ISP) year. The DDS Service Coordinator shall monitor utilization of IFS Waiver services throughout the ISP year and spending against the annual aggregate spending limit.
A person whose service utilization exceeds, or will exceed, the aggregate spending limit shall be given the option to transition into the HCBS Waiver for People with Intellectual and Developmental Disabilities (IDD Waiver).
D.C. Mun. Regs. tit. 29, r. 29-9000