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This is an obsolete version of the rule. Please click on the rule number to view the current version.

37.86.3811    MEDICAID REIMBURSED CASE MANAGEMENT SERVICES FOR CHILDREN AT RISK OF ABUSE AND NEGLECT, REIMBURSEMENT

(1) Contracted agencies providing case management services to children at risk of abuse and neglect are reimbursed at the lower of the following:

(a) the providers customary charge to the general public for the service; or

(b) $6.72 for each 15 minutes of service.

(2) Case management services provided by the CFSD for children at risk of abuse and neglect is a monthly rate established for each state fiscal year. The monthly rate is determined on a statewide basis on July 1 of each year by dividing the average monthly costs for the delivery of case management services for the previous year by the average monthly service population for the previous year.

(3) A unit of service is any targeted case management service provided during the month to a medicaid eligible child by the social worker employed by the department.

(4) Only one unit of service per month per medicaid eligible child can be billed.

History: Sec. 53-6-113, MCA; IMP, Sec. 53-6-101, MCA; NEW, 1997 MAR p. 496, Eff. 3/11/97; TRANS, from SRS, 2000 MAR p. 481; AMD, 2004 MAR p. 1404, Eff. 6/18/04.

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