Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.36 - Case Management Services for Persons Age 16 and Over with Developmental Disabilities
Rule 37.86.3602 - CASE MANAGEMENT SERVICES FOR PERSONS AGE 16 AND OVER WITH DEVELOPMENTAL DISABILITIES, ELIGIBILITY

Universal Citation: MT Admin Rules 37.86.3602

Current through Register Vol. 18, September 20, 2024

(1) A person is eligible for case management as a person with developmental disabilities if the person:

(a) is receiving Medicaid;

(b) is 16 years of age or over; and

(c) has a developmental disability.

(2) Case management services are not available to:

(a) a person residing in an intermediate care facility for the mentally retarded (ICF/MR) or in a Medicaid certified nursing facility except as provided for in (3); or

(b) a person receiving case management services under a home and community-based waiver program authorized under section 1915 (c) of the Social Security Act.

(3) A person residing in a Medicaid certified nursing facility or intermediate care facility for the mentally retarded (ICF/MR) may receive case management services during the 30 day period immediately preceding the scheduled discharge from a nursing facility in order to coordinate postdischarge services in a noninstitutional setting.

Sec. 53-6-113, MCA; IMP, Sec. 53-6-101, MCA;

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