Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.25 - Specialized Nonemergency Medical Transportation
Rule 37.86.2501 - SPECIALIZED NONEMERGENCY MEDICAL TRANSPORTATION, DEFINITIONS

Universal Citation: MT Admin Rules 37.86.2501

Current through Register Vol. 6, March 22, 2024

(1) Specialized nonemergency transportation means transportation service by a provider with a class B public service commission license allowing the provider to transport physically disabled individuals.

(a) A motor carrier operated by the Indian Health Service or by a federally recognized Indian Tribe which meets all applicable standards for a class B public service commission license need not obtain such a license to be enrolled as a Medicaid provider under (1).

(2) "Wheelchair bound" means individuals cannot mobilize without a wheelchair and are not able to get into or out of the wheelchair without assistance.

(3) "Prior authorization" means the department or its designee's review and approval of the medical necessity and coverage of a service prior to delivery of the service.

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

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