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Rule Title: REIMBURSEMENT FOR SERVICES OF MEDICAID FUNDED DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY-BASED SERVICES (HCBS) WAIVER PROGRAMS
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Department: PUBLIC HEALTH AND HUMAN SERVICES
Chapter: DEVELOPMENTAL DISABILITIES PROGRAM
Subchapter: Reimbursement for Services
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.34.3005    REIMBURSEMENT FOR SERVICES OF MEDICAID FUNDED DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY-BASED SERVICES (HCBS) WAIVER PROGRAMS

(1) Reimbursement through the Developmental Disabilities Program's (DDP) Medicaid Home and Community-Based Services Waiver Programs is only available to a provider for services or items:

(a) delivered in accordance with the requirements and limitations of ARM 37.34.3001;

(b) delivered in accordance with the terms and conditions of the formal approval by the Centers for Medicare and Medicaid (CMS) governing each waiver program; and

(c) authorized in accordance with ARM 37.34.3002 for reimbursement through the person's individual cost plan (ICP).

(2) The department adopts and incorporates by this reference the rates of reimbursement for the delivery of services and items available through each Home and Community-Based Services Waiver Program as specified in the Montana Developmental Disabilities Program Services Manual, effective July 1, 2019. A copy of the manual may be obtained through the Department of Public Health and Human Services, Developmental Services Division, Developmental Disabilities Program, 111 N. Sanders, P.O. Box 4210, Helena, MT 59604-4210 and at http://dphhs.mt.gov/dsd/developmentaldisabililities/DDPratesinf.

 

History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15; AMD, 2016 MAR p. 1709, Eff. 9/24/16; AMD, 2017 MAR p. 2312, Eff. 1/1/18; AMD, 2018 MAR p. 1610, Eff. 8/11/18; AMD, 2018 MAR p. 2057, Eff. 10/20/18; AMD, 2018 MAR p. 2543, Eff. 12/22/18; AMD, 2019 MAR p. 1171, Eff. 8/10/19.


 

 
MAR Notices Effective From Effective To History Notes
37-886 8/10/2019 Current History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15; AMD, 2016 MAR p. 1709, Eff. 9/24/16; AMD, 2017 MAR p. 2312, Eff. 1/1/18; AMD, 2018 MAR p. 1610, Eff. 8/11/18; AMD, 2018 MAR p. 2057, Eff. 10/20/18; AMD, 2018 MAR p. 2543, Eff. 12/22/18; AMD, 2019 MAR p. 1171, Eff. 8/10/19.
37-870 12/22/2018 8/10/2019 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15; AMD, 2016 MAR p. 1709, Eff. 9/24/16; AMD, 2017 MAR p. 2312, Eff. 1/1/18; AMD, 2018 MAR p. 1610, Eff. 8/11/18; AMD, 2018 MAR p. 2057, Eff. 10/20/18; AMD, 2018 MAR p. 2543, Eff. 12/22/18.
37-863 10/20/2018 12/22/2018 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15; AMD, 2016 MAR p. 1709, Eff. 9/24/16; AMD, 2017 MAR p. 2312, Eff. 1/1/18; AMD, 2018 MAR p. 1610, Eff. 8/11/18; AMD, 2018 MAR p. 2057, Eff. 10/20/18.
37-852 8/11/2018 10/20/2018 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15; AMD, 2016 MAR p. 1709, Eff. 9/24/16; AMD, 2017 MAR p. 2312, Eff. 1/1/18; AMD, 2018 MAR p. 1610, Eff. 8/11/18.
37-802 1/1/2018 8/11/2018 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15; AMD, 2016 MAR p. 1709, Eff. 9/24/16; AMD, 2017 MAR p. 2312, Eff. 1/1/18.
37-758 9/24/2016 1/1/2018 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15; AMD, 2016 MAR p. 1709, Eff. 9/24/16.
37-710 7/1/2015 9/24/2016 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14; AMD, 2015 MAR p. 827, Eff. 7/1/15.
37-674 7/1/2014 7/1/2015 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13; AMD, 2014 MAR p. 1408, Eff. 7/1/14.
37-634 7/12/2013 7/1/2014 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11; AMD, 2013 MAR p. 1212, Eff. 7/12/13.
37-548 8/26/2011 7/12/2013 History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11.
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