District of Columbia Code Division I. Government of District. § 4-651.11. Reimbursement for home visiting services.

(A) In consultation with organizations providing home visiting services and other relevant entities, establish criteria and processes for billing and reimbursement of eligible home visiting services, including:

(B) In consultation with DOH and other relevant entities, issue rules to determine eligibility for reimbursement by Medicaid, the DC HealthCare Alliance, and the Immigrant Children's Program.

(A) First-time expectant parents; and

(B) Families, and expectant parents, who have children under the age of 5 and meet 3 or more medical, behavioral, or social risk factors, as determined by DHCF.

(A) Is research-based and grounded in relevant empirically based knowledge;

(B) Has demonstrated program-determined outcomes;

(C) Is associated with a national organization, institution of higher education, or other organization that has comprehensive home visitation program standards to ensure high quality service delivery and continuous program quality improvement; and

(D) Meets the U.S. Department of Health and Human Services' criteria for evidence of effectiveness as determined by a Home Visiting Evidence of Effectiveness review or meets substantially equivalent criteria for evidence of effectiveness as determined by a credible, independent academic or research organization.