Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.33 - Case Management Services - General
Rule 37.86.3301 - CASE MANAGEMENT SERVICES, GENERAL DEFINITIONS

(1) "Case management" means the process of planning and coordinating care and services to meet individual needs of a client and to assist the client in obtaining necessary medical, social, nutritional, educational, and other services. Case management includes assessment, case plan development, monitoring, and service coordination. Case management provides coordination among agencies and providers in the planning and delivery of services.

(2) "Caregiver" means a parent, family member, foster parent, or guardian with legal responsibility for the well-being of the client.

(3) "Case management provider" or "provider" means an entity that as provided for in this subchapter may provide case management services to clients.

(4) "Case manager" means a person or a team of persons assigned by a case management provider to do case management for the client.

(5) "Client" means a person who is eligible for and is receiving case management services.

(6) "Presumptive eligibility" means the process of determining eligibility for pregnant women to receive ambulatory prenatal care services under the Medicaid presumptive eligibility program as provided at ARM 37.82.701.

(7) "Department" or "DPHHS" means the Department of Public Health and Human Services.