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Rule: 37.86.905 Prev     Up     Next    
Rule Title: COLLABORATIVE PRACTICE DRUG THERAPY MANAGEMENT - REIMBURSEMENT
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Department: PUBLIC HEALTH AND HUMAN SERVICES
Chapter: MEDICAID PRIMARY CARE SERVICES
Subchapter: Collaborative Practice Drug Therapy Management
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.86.905    COLLABORATIVE PRACTICE DRUG THERAPY MANAGEMENT - REIMBURSEMENT

(1) Reimbursement for collaborative practice drug therapy management is reimbursed only to the medical practitioner or facility, at the lower of the following:

(a) the provider's usual and customary charge to the general public for the service; or

(b) the department's current fee schedule in ARM 37.85.105 for the appropriate provider type.

(2) Collaborative practice drug therapy management services performed at a federally qualified health center or rural health clinic will be reimbursed in accordance with ARM 37.86.4401 through 37.86.4420.

 

History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-113, MCA; NEW, 2017 MAR p. 908, Eff. 7/1/17.


 

 
MAR Notices Effective From Effective To History Notes
37-792 7/1/2017 Current History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-113, MCA; NEW, 2017 MAR p. 908, Eff. 7/1/17.
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