Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.31 - Outpatient Hospital Rehabilitation and Therapy Services
Rule 37.86.3101 - OUTPATIENT HOSPITAL SERVICES, CARDIAC AND PULMONARY REHABILITATION SERVICES
Universal Citation: MT Admin Rules 37.86.3101
Current through Register Vol. 18, September 20, 2024
(1) Coverage for medically necessary outpatient cardiac and pulmonary rehabilitation services is effective January 1, 2006.
(2) All cardiac and pulmonary rehabilitative services must be medically necessary and prior authorized by the department's designated review organization.
(3) The following conditions are contraindications to cardiac or pulmonary rehabilitation, and except as provided in ARM 37.86.3107, patients with one or more contraindications are not eligible for cardiac or pulmonary rehabilitation:
(a) severe psychiatric
disturbance including, but not limited to, dementia and organic brain syndrome;
or
(b) significant or unstable
medical conditions including, but not limited to, substance abuse, liver
dysfunction, kidney dysfunction, and metastatic cancer.
53-2-201, 53-6-111, MCA; IMP, 53-2-201, 53-6-101, MCA;
Disclaimer: These regulations may not be the most recent version. Montana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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