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

37.86.5206    HEALTH IMPROVEMENT PROGRAM: SCOPE OF SERVICES AND REIMBURSEMENT

(1) A Health Improvement Program must meet the following criteria:

(a) if the department chooses to contract for services, the contractor must have the ability to provide the program described in ARM 37.86.5202 and program requirements stated in the contract must be fulfilled;

(b) if the department chooses to contract for service, the scope of practice must be appropriate for the contractor; and

(c) the contractor must comply with all other applicable state and federal requirements.

(2) A health center contracted with the department will be paid a per member per month case management fee for every eligible client in their service area for providing health improvement services. A health center as defined in ARM 37.86.5201 is qualified to contract with the department to provide a health improvement program. The health center must offer supportive services including but not limited to health coaching, care management, coordination with primary care providers, and referrals. The health center must be a Passport to Health provider.

 

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, 2010 MAR p. 1544, Eff. 6/25/10.

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