37.79.304    SERVICES COVERED

(1) The department adopts and incorporates by reference the HMK Evidence of Coverage dated November 1, 2017, which is available on the department's web site at www.hmk.mt.gov.

(2) The HMK Evidence of Coverage describes the health care benefits available to an HMK coverage group enrollee if the service is medically necessary. Prior authorization may be required and copayments may apply.

 

History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14; AMD, 2015 MAR p. 762, Eff. 7/1/15; AMD, 2015 MAR p. 2292, Eff. 1/1/16; AMD, 2017 MAR p. 2286, Eff. 10/14/17; AMD, 2018 MAR p. 1609, Eff. 8/11/18.