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37.34.3006    REIMBURSEMENT FOR SERVICES: THE 0371 COMMUNITY SUPPORTS PROGRAM OF MEDICAID FUNDED HOME AND COMMUNITY SERVICES

(1) Reimbursement for the provision of services or items funded through the 0371 Community Supports Program of Home and Community Services waiver is only available to a provider for services or items:

(a) delivered in accordance with the requirements and limitations of ARM 37.34.3001;

(b) delivered in accordance with the terms and conditions of the formal approval by the Centers for Medicare and Medicaid (CMS) governing this waiver;

(c) specified as 0371 community supports program services; and

(d) authorized in accordance with ARM 37.34.3002 for reimbursement through the consumer's individual cost plan (ICP).

(2) The department adopts and incorporates by this reference the rates of reimbursement for the delivery of services and items available through the 0307 Community Supports Program of Home and Community Services as specified in Section Two: Rates of Reimbursement for the HCBS 1915(c) 0208, 0371, 0667 Waiver Programs, of the Developmental Disabilities Program Manual of Service Reimbursement Rates and Procedures, published September 1, 2011. A copy of Section Two of the manual may be obtained through the Department of Public Health and Human Services, Developmental Services Division, Developmental Disabilities Program, 111 N. Sanders, P.O. Box 4210, Helena, MT 59604-4210 and at www.dphhs.mt.gov/dsd/ddp/forms.shtml.

History: 53-2-201, 53-6-402, MCA; IMP, 53-2-201, 53-6-402, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11.

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