Current through Register Vol. 18, September 20, 2024
(1) In order for
any county or other local entity to receive federal maternal and child health
(MCH) block grant funding from the department, that entity must contractually
agree to the following:
(a) MCH block grant
funds will be used solely for providing health services to mothers and
children.
(b) No MCH block grant
funds will be used to supplant local funds that would be otherwise
available.
(c) MCH block grant
funds will be used solely for the core maternal and child health services
listed in (2) below, unless the contractor has proved to the department prior
to entering into the contract that all core services have already been provided
for or, through a formal needs assessment process meeting the requirements of
(3) below, that the contractor has shown there is no need for the particular
core service not being provided. If there is such an exception made to
provision of all of the core services, the exception must be specifically set
out in the contract.
(d) For every
$4 of MCH block grant funding it spends, it must expend $3 from other
non-federal funding sources to provide the services required of it by the
contract.
(e) If the contractor has
a medicaid billing mechanism in place, it will bill medicaid for services
provided under the contract that qualify for medicaid reimbursement; and if a
medicaid billing mechanism is not in place, the contractor will work with
department staff to establish such a mechanism or to determine the feasibility
of medicaid billing by the contractor, and will utilize the mechanism once it
is established.
(f) No more than
10% of the funds available under the contract may be used for administration of
the contract, i.e., for services that do not directly contribute to the
delivery of direct services to clients; examples of administrative costs are
those for bookkeeping, legal aid, and supervision by persons who are not health
professionals.
(g) If the
contractor conducted maternal and child health programs during the state fiscal
year prior to that in which the contract is to be performed, the contractor
must maintain during the term of the contract at least the same level of effort
as it provided for those programs during prior fiscal year.
(h) Any grant-related income (for example,
income from fees charged or donations) accruing to the contractor from
activities funded, in whole or in part, under the contract will be used only to
pay for the allowable costs of providing the services described in the
contract, during the term of the contract or within one year thereafter.
Careful documentation
of the use of grant-related income must be maintained.
(2) Core maternal and
child health services are the following, when provided to pregnant women,
non-pregnant women of childbearing age, infants younger than one year of age,
children and adolescents 18 years of age or younger, or children with special
health care needs:
(a) population based
individual services, such as immunizations, public health education, and
screening for health problems;
(b)
enabling and non-health support services, such as outreach and referral, that
ensure that persons are informed about and referred to other services and
programs which they need or for which they may be eligible;
(c) direct health services, including but not
limited to public health nursing, home visiting, school health services,
nutrition services, health care coordination, preventive and primary care, and
other specific health services meeting the specific requirements or needs of
the above target groups; and
(d)
addressing public health infrastructure needs, including but not limited to
assessment of local health problems, health program development, augmentation
of service capacity, evaluation and management, and quality
assurance.
(3) In order
to use MCH block grant funds for services other than the core services listed
in (2) above, a contractor must use a formal needs assessment process that
includes developing a broad-based and local working group composed of
representatives of health professionals, educators, consumers, social services
providers, business leaders, and others interested in the health needs of the
groups named in (2) above, and with that group, analyzing available statistics
and utilizing consensus decision-making to determine the extent to which the
objectives are met that are contained in Healthy People 2000 National Health
Promotion and Disease Prevention Objectives, published by the U.S. department
of health and human services.
(4)
In distributing MCH block grant funds, the department will give priority to the
counties, regions, and communities with the least resources, the largest
proportion of underserved families, and the most serious maternal and child
health problems, and will determine who should have priority by utilizing
objective health indicators, including, at a minimum, the following:
(a) the number of children in
poverty;
(b) the number of women of
childbearing age; and
(c) the
number of children and adolescents age 18 and under.
(5) The calculations required by (4) above
must be based on 1990 census data, updated by projections made by the census
and economic information center of the state department of commerce.
(6) The department hereby adopts and
incorporates by reference Healthy People 2000 National Health Promotion and
Disease Prevention Objectives (DPHHS Publication No. 91-50213), published by
the U.S. department of health and human services, September, 1990, and which
contains a national strategy for significantly improving the nation's health
through the 1990s, and addresses prevention of major chronic illness, injuries,
and infectious diseases. A copy of Healthy People 2000 may be obtained from the
department's Family Health Bureau, Cogswell Building, P.O. Box 202951, Helena,
MT 59620-2951 (phone: 406-444-4743).
Sec.
50-1-202,
MCA; IMP, Sec.
50-1-202,
MCA;
