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Rule: 37.86.112 Prev     Up     Next    
Rule Title: MENTAL HEALTH SERVICES PLAN, EMERGENCY MENTAL HEALTH SERVICES, LIABILITY FOR FAILURE TO COMPLETE APPLICATION
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Department: PUBLIC HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Chapter: MEDICAID PRIMARY CARE SERVICES
Subchapter: Physician Services
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.86.112    MENTAL HEALTH SERVICES PLAN, EMERGENCY MENTAL HEALTH SERVICES, LIABILITY FOR FAILURE TO COMPLETE APPLICATION

(1) A nonmember receiving covered emergency mental health services, which do not include hospital emergency room or other hospital services, is eligible on an emergency basis for the plan and may receive covered medically necessary services for a covered diagnosis unless the provider determines that the individual has the means, financially or otherwise, by which to make payment. If the individual is subsequently determined ineligible for the plan or fails to complete an application for plan eligibility within 60 days following completion of emergency treatment, the individual is liable for and may be billed by the provider at its usual and customary (billed charges) private pay charges or by the department for the amount of payments actually made by the department or its agents to the provider for the services provided.

History: 41-3-1103, 53-2-201, 53-6-113, 53-6-131, 53-6-701, 53-6-706, MCA; IMP, 41-3-1103, 53-1-601, 53-1-602, 53-2-201, 53-6-101, 53-6-113, 53-6-116, 53-6-117, 53-6-131, 53-6-701, 53-6-705, 53-6-706, 53-21-139, 53-21-202, MCA; NEW, 2001 MAR p. 27, Eff. 1/12/01.


 

 
MAR Notices Effective From Effective To History Notes
1/12/2001 Current History: 41-3-1103, 53-2-201, 53-6-113, 53-6-131, 53-6-701, 53-6-706, MCA; IMP, 41-3-1103, 53-1-601, 53-1-602, 53-2-201, 53-6-101, 53-6-113, 53-6-116, 53-6-117, 53-6-131, 53-6-701, 53-6-705, 53-6-706, 53-21-139, 53-21-202, MCA; NEW, 2001 MAR p. 27, Eff. 1/12/01.
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