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 37.86.3605 - CASE MANAGEMENT SERVICES FOR PERSONS AGE 16 AND OVER WITH DEVELOPMENTAL DISABILITIES, COVERAGE
Universal Citation: MT Admin Rules 37.86.3605
Current through Register Vol. 18, September 20, 2024
(1) Reimbursable case management services for persons age 16 and over with developmental disabilities are:
(a) service coordination which includes the
following:
(i) assessment and evaluation of
the appropriateness and need for case management and other community services
for which the client might be eligible;
(ii) assistance in accessing and obtaining
needed services as requested by the client;
(iii) assisting the client's entry into
services; and
(iv) monitoring and
follow up services received by the client.
(b) planning which includes the following:
(i) development, facilitation, coordination,
and monitoring of an individual plan (IP) for the client.
(c) crisis intervention which includes the
following:
(i) crisis intervention for
personal, financial, social, legal, or medical crisis; and
(ii) preventative problem solving with the
client and where appropriate the client's family to prevent a crisis.
(d) quality of life which includes
the following:
(i) building of personal
relationship, communication, trust, and a basic understanding of the client as
a unique human being by establishing a rapport with the client and the client's
family and friends;
(ii) getting an
understanding for how the client is doing or for how client wants to be doing;
and
(iii) conducting a quality of
life assessment for the client.
(2) Case management services for persons age 16 and over with developmental disabilities are available without geographic limitation.
Sec. 53-6-113, MCA; IMP, Sec. 53-6-101, MCA;
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