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

37.86.5111    PASSPORT TO HEALTH PROGRAM: PRIMARY CARE PROVIDERS REQUIREMENTS

(1) A primary care provider must meet the following requirements:

(a) enroll as a medicaid provider;

(b) provide primary care; and

(c) sign a passport contract for primary care case management.

(2) A primary care provider may be subject to utilization review to determine that the care and services provided through the program are fulfilling the provisions of the primary care case management agreements with the program and are only those which are medically necessary or otherwise permissible.

History: Sec. 53-2-201 and 53-6-113, MCA; IMP, 53-6-116, MCA; NEW, 1992 MAR p. 2288, Eff. 10/16/92; AMD, 1994 MAR p. 313, Eff. 2/11/94; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 866, Eff. 3/31/00.

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