Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.40 - SENIOR AND LONG TERM CARE SERVICES
Subchapter 37.40.3 - Reimbursement for Skilled Nursing and Intermediate Care Services
Rule 37.40.339 - MEDICARE HOSPICE BENEFIT - REIMBURSEMENT
Universal Citation: MT Admin Rules 37.40.339
Current through Register Vol. 18, September 20, 2024
(1) In accordance with section 9435(b) of the Omnibus Budget Reconciliation Act of 1986, Public Law 99-509, the department may not pay a nursing facility provider for services provided to an eligible Medicaid/Medicare individual who has elected the Medicare hospice benefit.
(a) This rule applies where the hospice
provider and the nursing facility provider have made a written agreement under
which the hospice provider agrees to provide professional management of the
individual's hospice care and the nursing facility provider agrees to provide
room and board to the individual.
(b) When this rule applies, the department
will pay the hospice provider in accordance with the department's rules
governing Medicaid reimbursement to hospice providers.
53-6-113, MCA; IMP, 53-6-101, 53-6-113, MCA;
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