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37.86.3602    CASE MANAGEMENT SERVICES FOR PERSONS AGE 16 AND OVER WITH DEVELOPMENTAL DISABILITIES, ELIGIBILITY

(1) A person is eligible for case management as a person with developmental disabilities if the person:

(a) is receiving Medicaid;

(b) is 16 years of age or over; and

(c) has a developmental disability.

(2) Case management services are not available to:

(a) a person residing in an intermediate care facility for the mentally retarded (ICF/MR) or in a Medicaid certified nursing facility except as provided for in (3); or

(b) a person receiving case management services under a home and community-based waiver program authorized under section 1915 (c) of the Social Security Act.

(3) A person residing in a Medicaid certified nursing facility or intermediate care facility for the mentally retarded (ICF/MR) may receive case management services during the 30 day period immediately preceding the scheduled discharge from a nursing facility in order to coordinate postdischarge services in a noninstitutional setting.

History: Sec. 53-6-113, MCA; IMP, Sec. 53-6-101, MCA; NEW, 1991 MAR p. 1295, Eff. 7/26/91; AMD, 1994 MAR p. 3201, Eff. 12/23/94; AMD, 1997 MAR p. 496, Eff. 3/11/97; TRANS, from SRS, 2000 MAR p. 481.

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