On November 6, 2019, CMS approved the District of Columbia’s Behavioral Health Transformation Section 1115 Demonstration (Project No. 11-W-00331/3) which allowed the District to begin receiving federal financial participation effective January 1, 2020 through December 31, 2024, to provide services to address gaps in the behavioral health delivery system for serious mental illness (SMI)/serious emotional disturbances
(SED) and substance use disorder (SUD)).

For further information, please contact DHCF at [email protected]/

Waiver-Related Documents: 

Approval Materials    
DHCF Demonstration STCs with Evaluation Design and Monitoring Protocol 1.6.21 (pdf)
Press Release Waiver Approval 11.6.19 - (pdf)
Original DHCF Demonstration Special Terms and Conditions 11.6.19 - (pdf)

Application Materials
Summary of 1115 Waiver Demonstration Application 6-3-19 - (pdf)
District Letter from DM Turnage to Administrator Verma 6-3-19 - (pdf)
1115 Final Demonstration Application 6-3-19 - (pdf)
Summary of Draft 1115 Waiver Demonstration Application - (pdf)
1115 Draft Demonstration Waiver Application 4.12.19 - (pdf)

Post Award Forum Materials and Recordings
October 2023 Post Award Forum Slides - (pdf)
Recording of October 27 2023 Post Award Forum
October 2022 Post Award Forum Slides - (pdf)
Recording of October 28 2022 Post Award Forum
October 2021 Post Award Forum Slides
Recording of October 18 2021 Post Award Forum
October 2020 Post Award Forum Slides - (pdf)
Recording of October 20 2020 Post Award Forum

Waiver-Related Transmittals
Transmittal #21-23 Managed Care Program Authorization Guidance for SUD Residential Treatment Services -
(pdf)
Transmittal #21-22 FFS Authorization Guidance for SUD Residential Treatment Services - (pdf)
Compiled Behavioral Health Demonstration Rates 10.23.20 - (pdf)
Behavioral Health Transformation Demonstration Rates for Transition Planning - (pdf)
Behavioral Health Transformation Demonstration Rates for Supported Employment - (pdf)
Behavioral Health Transformation Demonstration Rates for Crisis Services - (pdf)
Behavioral Health Transformation Demonstration Rates for TREM and TST- (pdf)
Transmittal 20-12 – Behavioral Health Transformation Demonstration Program – HIE Participation
Requirements for IMDs - (pdf)
Transmittal 19-31- Services Provided in Institutions for Mental Disease for Medicaid Beneficiaries Aged 21-
64 - (pdf)
Transmittal 19-28 Independent Practice for Psychologists and Other Licensed Behavioral Health Providers -
(pdf)
Transmittal 19-27 Removal of MAT Co-Pay - (pdf)
Transmittal 19-26 Billing Guidance for Medicaid Section 1115 Behavioral Health Transformation Demonstration Service (pdf)
Transmittal 19-25 Enrollment of New Behavioral Health Provider Types - (pdf)

Rulemakings and Other Documents
Approved SPA 21-0011 5.23.22 - (pdf)
Approved SPA 21-0010 4.26.22 - (pdf)
Approved SPA 21-0009 9.24.21 - (pdf)
DHCF Chapter 86 Demonstration Services Third Rulemaking - (pdf)
DBH Chapter 80 Crisis Services Second Rulemaking - (pdf)
DBH Chapter 65 Transition Planning Services Rulemaking - (pdf)
DBH Chapter 80 Crisis Services First Rulemaking - (pdf)
DBH Chapter 63 SUD Providers Rulemaking - (pdf)
DHCF Chapter 86 Demonstration Services Second Rulemaking - (pdf)
DHCF Chapter 86 Demonstration Services First Rulemaking - (pdf)
DBH Chapter 37 Supported Employment Services Rulemaking - (pdf)
DBH Chapter 34 MHRS Provider Certification Standards Rulemaking - (pdf)