(1) Reimbursement for the therapeutic portion of home support services (HSS) and therapeutic foster care (TFC) services is the lesser of:

(a) the amount specified in the department's fee schedule adopted in ARM 37.87.901; or

(b) the provider's usual and customary charges.

(2) HSS and TFC providers must use the procedure codes designated by the department, in the fee schedule referred to in (1)(a) to be reimbursed for HSS and TFC.

(3) HSS and TFC providers are reimbursed a daily or patient day rate. Patient day means a whole 24-hour period that a youth is present and receiving HSS or TFC services. Even though a youth may not be present for a whole 24-hour period, the day of admission is a patient day. The day of discharge is not a patient day.

(4) Medicaid will not reimburse for room, board, maintenance, or any other nontherapeutic component of HSS or TFC treatment, including when this service is delivered in a foster home.

(5) Targeted case management will not be reimbursed concurrent with HSS or TFC.