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

37.86.5205    HEALTH IMPROVEMENT PROGRAM: CLIENT ELIGIBILITY AND ASSIGNMENT

(1) To receive health improvement services an eligible client must be:

(a) a recipient of Montana Medicaid or HMK Plus; and

(b) eligible for the Passport to Health Program.

(2) To receive Health Improvement Program services an eligible client must not be:

(a) receiving third party coverage that provides disease management program services or requires administrative controls that would duplicate or interfere with Montana Medicaid's Health Improvement Program;

(b) receiving case management services that health improvement program services would duplicate; or

(c) receiving Medicaid or HMK Plus for less than three months.

(3) A client meeting the eligibility requirements in this rule:

(a) is automatically enrolled in the Health Improvement Program;

(b) is notified of the enrollment in writing;

(c) may request a disenrollment at any time; and

(d) may request a re-enrollment at any time.

 

History: 53-6-101, 53-6-113, MCA; IMP, 53-6-101, 53-6-113, MCA; NEW, 2003 MAR p. 2892, Eff. 12/25/03; AMD, 2007 MAR p. 978, Eff. 7/6/07; AMD, 2010 MAR p. 1544, Eff. 6/25/10.

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