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

37.89.503    72-HOUR PRESUMPTIVE ELIGIBILITY FOR ADULT CRISIS STABILIZATION SERVICES: LIMITATIONS

(1) This subchapter is not intended to and does not establish an entitlement to:

(a) reimbursement for services delivered to any individual; or

(b) receive any services under the program.

(2) The category of services, the particular provider of services, the duration of services, and other details regarding the services to be covered for a particular individual will be determined and may be restricted by the department or its designee based upon and consistent with the services medically necessary for an eligible individual, the availability of appropriate alternative services, the relative cost of services, the degree of medical need, and other relevant factors.

(a) If the department determines with respect to the program that it is necessary to suspend or eliminate service coverage or otherwise limit services, benefits, or provider participation, in a manner other than provided in this subchapter, the department may implement such changes by providing ten days advance notice published in Montana major daily newspapers with statewide circulation, and by providing ten days advance written notice of changes to affected providers.

(b) Reimbursement for crisis stabilization services delivered under this subchapter will be retroactive to March 1, 2008.

History: 53-6-101, 53-6-113, MCA; IMP , 53-6-101, MCA; NEW , 2008 MAR p. 1489, Eff. 4/11/08.

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