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37.86.2206    EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT SERVICES (EPSDT) , MEDICAL AND OTHER SERVICES

(1) EPSDT eligible persons may receive any services otherwise available to persons eligible for Medicaid funded services.

(2) In addition to the services generally available to Medicaid recipients, the following services are available to EPSDT eligible persons:

(a) nutrition services as provided in ARM 37.86.2209;

(b) chiropractic services as provided in ARM 37.86.2211;

(c) outpatient chemical dependency treatment as provided in ARM 37.86.2213;

(d) private duty nursing as provided in ARM 37.86.2217;

(e) the therapeutic portion of medically necessary therapeutic youth group home treatment as provided in ARM 37.86.2219;

(f) the therapeutic portion of medically necessary therapeutic family care treatment as provided in ARM 37.86.2221; and

(g) school based health related services as provided in ARM 37.86.2230.

(3) Requests for prior authorization must be made in writing to the Department of Public Health and Human Services, Addictive and Mental Disorders Division, Mental Health Program, 555 Fuller Avenue, P.O. Box 202905, Helena, MT 59620-2905, or to the department's designee.

History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, 53-6-113, MCA; NEW, 1980 MAR p. 1790, Eff. 6/27/80; AMD, 1987 MAR p. 205, Eff. 2/27/87; AMD, 1990 MAR p. 2299, Eff. 12/28/90; AMD, 1992 MAR p. 1402, Eff. 7/1/92; AMD, 1992 MAR p. 2788, Eff. 1/1/93; AMD, 1993 MAR p. 1540, Eff. 7/16/93; AMD, 1995 MAR p. 2501, Eff. 11/23/95; AMD, 1997 MAR p. 548, Eff. 3/25/97; AMD, 1998 MAR p. 3219, Eff. 12/4/98; AMD, 1999 MAR p. 1806, Eff. 7/1/99; TRANS, from SRS, 2000 MAR p. 481; AMD, 2001 MAR p. 27, Eff. 1/12/01; AMD, 2003 MAR p. 1316, Eff. 6/27/03.

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