Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.55 - END STAGE RENAL DISEASE (ESRD)
Subchapter 37.55.5 - Services and Supplies
Rule 37.55.502 - ELIGIBLE SERVICES AND SUPPLIES

(i) insertion and maintenance of access site;

(ii) physician and hospital service for maintenance of home dialysis;

(iii) the following medications, not exceeding a 30-day supply:

(i) training the patient to implement and maintain home dialysis (excluding room, board, and travel expenses) ;

(ii) modification of existing plumbing and wiring, at the cost represented by the lowest of three bids submitted to the department, or, if three bidding sources are not reasonably available to the patient, the lowest of those bids available;

(iii) for those patients choosing to let a facility provide and maintain dialysis supplies and equipment (medicare method I), the charge per run by that facility;

(iv) for those patients choosing to obtain and maintain their own home dialysis supplies and equipment (medicare method II) :

(i) preliminary medical work-up for donor/donee match for a dialysis patient who is otherwise program-eligible;

(ii) in the case of a cadaveric transplant, if ESRD is notified within 72 hours after the patient is admitted to a hospital for the transplant, transportation of the patient to and from the site where the transplant takes place, at the least expensive commercial rate available for the trip on the day of transplant; the above notification must be by the physician or social worker at either the transplant center or the dialysis facility;

(iii) physician and hospital care related to transplant surgery;

(iv) the following medications not exceeding a 30-day supply:

(v) medical follow-up services which are directly related to maintenance or monitoring of the transplanted kidney.