Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.34 - DEVELOPMENTAL DISABILITIES PROGRAM
Subchapter 37.34.9 - 0208 Medicaid Home and Community-Based Services Program
Rule 37.34.941 - 0208 MEDICAID HOME AND COMMUNITY-BASED SERVICES PROGRAM: ENVIRONMENTAL MODIFICATIONS
Universal Citation: MT Admin Rules 37.34.941
Current through Register Vol. 18, September 20, 2024
(1) Environmental modifications are those physical adaptations to the home or vehicle required by the waiver recipient's plan of care, which are necessary to safeguard the health, welfare, and safety of the person, or which enable the person to function with greater independence and without which the person would require institutionalization.
(2) An environmental modification must:
(a)
relate specifically to and be primarily for the waiver recipient;
(b) have utility primarily for the waiver
recipient;
(c) not be an item or
modification that a family would normally be expected to provide for a
nondisabled family member;
(d) not
be in the form of room and board or general maintenance;
(e) meet the specifications, if applicable,
for the modification set by the American National Standards Institute (ANSI);
and
(f) be prior authorized by the
department.
(3) Environmental modifications may not include:
(a) adaptions to the home which are of
general utility and are not of direct medical or remedial benefit to the waiver
recipient, such as carpeting, roof repair, central air condition; or
(b) adaptations to the home which add to the
total square footage of the home.
AUTH: 53-6-113, 53-6-402, MCA; IMP: 53-6-101, 53-6-402, MCA
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