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37.87.2233    MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) RESPITE CARE SERVICES, PROVIDER REIMBURSEMENT

(1) Respite care services are non-Medicaid funded services except for youth with SED enrolled in the Home and Community-Based 1915(c) Services Bridge Waiver for Youth with Serious Emotional Disturbance in accordance with ARM 37.87.1303 through 37.87.1335, and the 1915(i) HCBS State Plan Program for Youth with Serious Emotional Disturbance in accordance with ARM 37.87.1303, 37.87.1313, 37.87.1314, 37.87.1315, 37.87.1333, and 37.87.1335.

(2) Providers' claims for respite care services provided to youth with SED must be submitted to the department's Medicaid Management Information System (MMIS) contractor according to requirements set forth in ARM 37.85.406. Payments will be made to the provider through the department's MMIS contractor.

(3) Reimbursement for respite care services is as provided in the department's Medicaid fee schedule, as adopted in ARM 37.85.105.

(4) Providers of respite care services must accept the amounts payable under this rule as payment in full for the respite care services provided to youth with SED.

History: 53-2-201, 53-6-101, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, MCA; NEW, 2009 MAR p. 272, Eff. 2/27/09; AMD, 2010 MAR p. 1512, Eff. 7/1/10; AMD, 2012 MAR p. 1273, Eff. 7/1/12; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 2153, Eff. 11/15/13

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