Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.24 - Transportation Services
Rule 37.86.2405 - TRANSPORTATION AND PER DIEM, REIMBURSEMENT

Universal Citation: MT Admin Rules 37.86.2405

Current through Register Vol. 18, September 20, 2024

(1) The department pays the lower of the following reimbursement rates for transportation services:

(a) the provider's actual submitted charge; or

(b) the department's Personal and Commercial Transportation Fee Schedule adopted in this rule.

(2) The department adopts and incorporates by reference the department's Montana Medicaid Fee Schedule, Personal and Commercial Transportation as provided in ARM 37.85.105(3) that sets forth the reimbursement rates for transportation, per diem, and other Medicaid services.

(3) No payment is available for personal vehicle mileage or per diem costs that total less than $5 in a calendar month.

(4) Reimbursement for transportation and per diem may not exceed the reimbursement as calculated and specified by the department in the prior authorization.

(5) Mileage for transportation in a personally owned vehicle is reimbursed at the rate provided in the department's personal and commercial transportation fee schedule.

53-2-201, 53-6-113, MCA; IMP, 53-6-101, 53-6-113, 53-6-141, MCA;

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