(1) Reimbursement under the medicaid home and community services program is only available for services specified in the recipient's individual plan of care.

(2) Reimbursement for services is at those rates that are available under the terms of the contract that the department enters into with providers of services.

(3) Reimbursement is not available in the following circumstances:

(a) for services reimbursable under the state medicaid program or any other local government, state or federal program for which the person is eligible or would be eligible upon application;

(b) for costs of services that exceed the funding available for the recipient as provided in the department's contract with the provider; and

(c) for services provided on an inpatient basis at a hospital or a long term care facility as defined in 50-5-101 , MCA.

(4) No copayment will be imposed on recipients for the costs of medicaid home and community services, however, recipients are responsible for copayments on other medicaid services as defined in ARM 46.12.204.