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37.40.905    HOME DIALYSIS FOR END STAGE RENAL DISEASE, REIMBURSEMENT

(1) Reimbursement for equipment shall be the lesser of the following:

(a) the provider's usual and customary charges which are reasonable; or

(b) the medicaid established fee for that service.

(2) Payment to a nonrelated individual for "back-up" services shall be negotiated between the department and the provider on a case-by-case basis. Members of a recipient's family shall not be reimbursed for providing this service. Reimbursement shall only be allowed in those cases where a family member is not available to provide "back-up" services.

History: Sec. 53-6-113, MCA; IMP, Sec. 53-6-101 and 53-6-141, MCA; NEW, 1980 MAR p. 1789, Eff. 6/27/80; TRANS, from SRS, 2000 MAR p. 489; AMD, 2001 MAR p. 1476, Eff. 8/10/01; AMD, 2001 MAR p. 2156, Eff. 10/26/01.

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