Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.53 - Passport to Health Team Care Program
Rule 37.86.5306 - TEAM CARE PROGRAM: REIMBURSEMENT
Current through Register Vol. 18, September 20, 2024
(1) Reimbursement for team care case management services is $6.00 a month for each enrollee.
(2) A provider may be reimbursed for team care case management for an enrollee for a month during which case management or medical care was not provided to the enrollee if the primary care provider is otherwise in compliance with the agreement with the program.
(3) Medicaid services authorized or provided by a primary care provider are reimbursed as provided in ARM Title 37, chapters 40, 82, 83, 85, 86 and 88.
(4) Services listed in ARM 37.86.5110(1) provided to enrollees are not reimbursable unless provided or authorized by an enrollee's primary care provider in accordance with these rules.
Sec. 53-6-113, MCA; IMP, Sec. 53-6-104 and 53-6-113, MCA;
