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

37.86.5112    PASSPORT TO HEALTH PROGRAM: REIMBURSEMENT

(1) Reimbursement for primary care case management services is $3.00 a month for each enrollee.

(2) A primary care provider may be reimbursed for primary care case management for an enrollee for a month during which case management or medical care was not provided to the enrollee if the primary care provider is otherwise in compliance with the agreement with the program.

(3) Medicaid services authorized or provided by a primary care provider are reimbursed as provided in ARM Title 37, chapters 40, 82, 83, 85, 86, and 88.

(4) Services requiring Passport referral are not reimbursable unless referral is provided by a Passport enrollee's primary care provider.

History: 53-2-201, 53-6-113, MCA; IMP, 53-6-116, MCA; NEW, 1992 MAR p. 2288, Eff. 10/16/92; AMD, 1996 MAR p. 2193, Eff. 8/9/96; TRANS, from SRS, 2000 MAR p. 481; AMD, 2013 MAR p. 1447, Eff. 8/9/13.

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