Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.51 - Passport to Health Program
Rule 37.86.5104 - PASSPORT TO HEALTH PROGRAM: ENROLLMENT IN THE PROGRAM
Current through Register Vol. 18, September 20, 2024
(1) The department will notify a Medicaid member required by ARM 37.86.5103 to enroll in the program that the member must enroll in the program.
(2) The member required to enroll in the program must select a primary care provider within 45 days of being notified of the enrollment requirement. For Team Care Program members, enrollment with a provider will be as required at ARM 37.86.5303.
(3) If the member does not choose a provider within 45 days of the notification, the department will designate a primary care provider for the member. For Team Care Program members, enrollment with a provider will be as required in ARM 37.86.5303.
(4) An enrollee may choose a new primary care provider up to once per month. For Team Care Program members, a change of provider may be made in accordance with ARM 37.86.5303. The frequency of a member's request to change providers will be monitored by the department.
(5) Each enrollee in a household may choose a different primary care provider.
53-2-201, 53-6-113, MCA; IMP, 53-6-113, 53-6-116, MCA;
