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

37.86.3515    CASE MANAGEMENT SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS, REIMBURSEMENT

(1) Case management services for adults with severe disabling mental illness will be reimbursed on a fee per unit of service basis as follows. For purposes of this rule, a unit of service is a period of 15 minutes.

(a) The department will pay the lower of the following for case management services:

(i) the provider's actual submitted charge for services; or

(ii) the amount specified in the department's Medicaid fee schedule.

(2) The department may, in its discretion, designate a single provider of case management services in a designated geographical region. Any provider designated as the sole case management provider for a designated geographical region must, as a condition of such designation, agree to serve the entire designated geographical region.

History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-113, MCA; NEW, 1999 MAR p. 1301, Eff. 7/1/99; TRANS, from SRS, 2000 MAR p. 481; EMERG, AMD, 2002 MAR p. 1328, Eff. 4/26/02; EMERG, AMD, 2003 MAR p. 1087, Eff. 5/23/03; AMD, 2010 MAR p. 424, Eff. 2/12/10.

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