reglab/statecodes huggingface dataset:
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1402 - PAYMENT OF MEDICAL CLAIMS

Current through Register Vol. 13, July 5, 2024
(1) Payment of
				medical claims must be made in accordance with the schedule of facility and
				professional medical fees adopted by the department.
(a) Payment of medical claims must also be
				made in accordance with the utilization and treatment guidelines adopted by the
				department in ARM Title 24, chapter 29, subchapter 16.
(b) The department may assess a penalty on
				insurers for neglect or failure to use the correct fee schedule. It is the
				insurer's responsibility to ensure that the correct fee schedule is used by a
				third-party agent.
(c) A provider
				of medical treatment or services shall only be paid for services under this
				chapter if the bill for medical treatment or services is timely received by the
				employer or appropriate payer. Absent a showing of good cause, a bill for
				treatment or services is timely received by the employer or appropriate payer
				when it is actually received within 365 days of the later of:
(i) the date of service; or
(ii) the date the provider of medical
				treatment or services knew the treatment or services was related to a claim for
				benefits under this chapter.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1403 - SELECTION OF PHYSICIAN (REPEALED)

Current through Register Vol. 13, July 5, 2024
39-71-203,
					 MCA; IMP,
					 39-71-203,
					 39-71-704,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1404 - DISPUTED MEDICAL CLAIMS

Current through Register Vol. 13, July 5, 2024
(1) The following
				issues are considered to be disputes arising over the amount of a fee for
				medical services:
(a) amounts payable to
				medical providers, when benefits available directly to claimants are not an
				issue;
(b) access to medical
				records;
(c) timeliness of payments
				to medical providers; or
(d)
				requirements for documentation submitted by a provider to an insurer pursuant
				to ARM 24.29.1513 as a condition of the
				payment of medical fees.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1405 - PHYSICIANS' REPORTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
39-71-203,
					 MCA; IMP,
					 39-71-203,
					 39-71-704,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1406 - FACILITY BILLS

Current through Register Vol. 13, July 5, 2024
(1) Facility bills
				must be submitted on a UB04 when the injured worker is discharged from the
				facility or every 30 days.
(2) The
				providers and payers shall use, when possible, electronic billing for the
				billing and reimbursement process.
(3) It is the responsibility of the facility
				to use the proper service codes on any bills submitted for payment.
(4) Insurer-initiated medical necessity
				review, bill audits, and other administrative review procedures may only be
				conducted on a post-payment basis.
AUTH:
					 39-71-203, MCA IMP:
					 39-71-105,
					 39-71-107,
					 39-71-203,
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1407 - PROSTHETIC APPLIANCES

Current through Register Vol. 13, July 5, 2024
(1) Claims for
				furnishing replacement or repair of prosthetic appliances shall be paid to
				orthotists or prosthetists, who have been certified by the American Board for
				Certification in Orthotics or Prosthetics, and whose services are performed in
				a certified facility.
AUTH:
					 39-71-203, MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1408 - SUSPENSION ALLOWED

Current through Register Vol. 13, July 5, 2024
(1) An insurer may
				suspend compensation payments under
				39-71-607, MCA, for not more than
				30 days pending the receipt of medical information, if:
(a) the insurer submits to the department a
				detailed written statement indicating that the insurer is having difficulty in
				receiving medical information relating to a claimant's condition;
(b) the department approves a suspension of
				compensation payments for not more than 30 days pending the receipt of medical
				information; and
(c) after the
				department approves the suspension of payments, the insurer notifies the
				claimant in writing that biweekly payments are being suspended pending the
				receipt of medical information. A copy of the notification shall be furnished
				to the department.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1409 - TRAVEL EXPENSE REIMBURSEMENT

Current through Register Vol. 13, July 5, 2024
(1) Payment of
				travel expense is subject to the following:
(a) Claims for travel reimbursement must be
				submitted on a form provided by the insurer within 90 days of the date the
				expense was incurred. After 90 days, the insurer must make reimbursement,
				unless, during the 90 days that the reimbursement was available:
(i) the insurer has proof of providing
				written notice to the injured worker that travel reimbursement is available;
				and
(ii) the written notice stated
				that a travel reimbursement claim must be submitted to the insurer within 90
				days of the worker incurring the expense.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1415

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA IMP:
					 39-71-711,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1416 - APPLICABILITY OF DATE OF INJURY, DATE OF SERVICE

Current through Register Vol. 13, July 5, 2024
(1) The amounts of the following types of
				payments are determined according to the specific department rates in effect on
				the date the medical service or services are provided, regardless of the date
				of injury:
(a) medical fees;
(b) facility charges;
(c) prescription drugs; and
(d) DME.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1420 - RELATIVE VALUE FEE SCHEDULE (REPEALED)

Current through Register Vol. 13, July 5, 2024
39-71-203
					 and
					 39-71-704,
					 MCA, as amended by section 3 of Ch. 422 of Laws of 1985; IMP,
					 39-71-704,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1425

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1426

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1427

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1428

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1430

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1431

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1432

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA IMP:
					 39-71-203,
					 39-71-704, MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.14 - General Medical Rules and Facility Service Rules › Rule 24.29.1433 - FACILITY SERVICE RULES AND RATES

Current through Register Vol. 13, July 5, 2024
(1) The department
				adopts the fee schedules provided by this rule to determine the reimbursement
				for medical services provided by a facility when a person is discharged on or
				after July 1, 2013. An insurer is obligated to pay the fee provided by the fee
				schedules for a service, even if the billed charge is less, unless the facility
				and insurer have a managed care organization (MCO) or preferred provider
				organization (PPO) arrangement that provides for a different payment amount.
				The fee schedules are available online at the department's web site and are
				updated as soon as is reasonably feasible relative to the effective dates of
				the medical codes as described below. The fee schedules are comprised of the
				elements listed in
				39-71-704, MCA, and the following:
(a) The Montana Status Indicator (SI) Codes;
(b) The Montana unique code,
				MT003, described in (11)(e) and (12)(f); and
(c) The base rates and conversion formulas
				are established by the department..
(d) All current and prior instruction sets
				for services provided starting July 1, 2013, are available on the department's
				website.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1501 - PURPOSE (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1504 - DEFINITIONS

Current through Register Vol. 13, July 5, 2024
This Rule has been transferred to
				  24.29.1401A
39-71-203,
					 MCA; IMP,
					 39-71-704,
					 MCA;
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1510 - SELECTION OF PHYSICIAN FOR CLAIMS ARISING FROM JULY 1, 1993 THROUGH JUNE 30, 2013 (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1511

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1512 - SELECTION OF PHYSICIAN FOR CLAIMS ARISING ON OR AFTER JULY 1, 2013

Current through Register Vol. 13, July 5, 2024
(1) Initial or repeated treatment in an
				emergency room or urgent care facility is not selection of a treating
				physician.
(2) The insurer must
				provide formal notification of the designated treating physician by e-mail,
				facsimile, or letter to:
(a) the injured
				worker;
(b) the current treating
				physician; and
(c) the designated
				treating physician. The effective date of the designation of treating physician
				is the date the insurer sends the notice of designation unless the physician
				declines within ten working days.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1513 - DOCUMENTATION REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) A treating
				physician or emergent or urgent care provider must provide the insurer the
				following documents within seven days of the first claim-related visit:
(a) initial report;
(b) Medical Status Form; and
(c) treatment bill (CMS 1500).
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1515 - FUNCTIONAL IMPROVEMENT STATUS

Current through Register Vol. 13, July 5, 2024
(1)
				Functional improvement status must identify objective medical findings of the
				claimant's medical status, and note the effect of the medical services
				(positive, neutral, or negative), with respect to the goals of the treatment
				plan. The functional improvement status can be sufficiently documented on the
				Medical Status Form. The Montana Utilization and Treatment Guidelines outline
				the standards for functional improvement.
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-704,
					 39-71-1036,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1517 - PRIOR AUTHORIZATION FOR CERTAIN SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-704,
					 39-71-743,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1519

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1521

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1522 - MEDICAL EQUIPMENT AND SUPPLIES PROVIDED BY A NONFACILITY FOR DATES OF SERVICE FROM JANUARY 1, 2008 THROUGH JUNE 30, 2013 (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-704,
					 39-71-743,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1523 - MEDICAL EQUIPMENT AND SUPPLIES

Current through Register Vol. 13, July 5, 2024
(1) If
				the relative value unit is null or not listed on the fee schedule for durable
				medical equipment, reimbursement is the total of:
(a) item cost;
(b) shipping cost; and
(c) the lesser of $30 or 30% of the item
				cost.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1526 - DISALLOWED PROCEDURES (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1529 - PRESCRIPTION DRUGS FEE SCHEDULE

Current through Register Vol. 13, July 5, 2024
(1) In
				addition to the limitations on the payments for and dispensing of prescription
				drugs as set out by
				39-71-727,
				MCA, the following apply:
(a) The
				reimbursement rate for prescription drugs is based upon the rate in effect on
				the date the drug is dispensed.
(b)
				Reimbursement rates to retail pharmacies for brand-name drugs are limited to
				the lesser of:
(i) the price charged for the
				prescription drug at the time of dispensing; or
(ii) the average wholesale price (AWP), minus
				10 percent, at the time of dispensing, plus a dispensing fee, not to exceed
				$3.00 per prescription drug.
(c) Reimbursement rates to retail pharmacies
				for generic-name drugs are limited to the lesser of:
(i) the price charged for the prescription
				drug at the time of dispensing; or
(ii) the AWP, minus 25 percent, at the time
				of dispensing, plus a dispensing fee, not to exceed $3.00 per prescription
				drug.
(d) For the
				purposes of this rule, average wholesale prices must be updated
				monthly.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1531

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1532

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1533 - NONFACILITY FEE SCHEDULE FOR SERVICES PROVIDED FROM JANUARY 1, 2008 THROUGH JUNE 30, 2013 (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1534 - PROFESSIONAL FEE SCHEDULE

Current through Register Vol. 13, July 5, 2024
(1) An insurer must
				pay the fee schedule or the billed charge, whichever is less, for a service
				provided within the state of Montana. The fee schedules are available online at
				the department's web site and are updated as soon as is reasonably feasible
				relative to the effective dates of the medical codes as described below. All
				current and prior instruction sets for services provided starting July 1, 2013,
				are available on the department's website. The fee schedules are comprised of
				the elements listed in
				39-71-704, MCA, and the following:
(a) the conversion factors established by the
				department in ARM
				24.29.1538;
(b) modifiers, listed on the department's web
				site;
(c) the Montana unique code,
				MT001, described in (9);
(d) the
				Montana unique code, MT003, adopted and described in ARM
				24.29.1433; and
(e) the Montana unique code, MT009, for
				referral to a vocational rehabilitation counselor for on-site job evaluation
				with the injured worker to assist in returning him/her to work either to
				his/her time of injury job or a new job/position.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1536

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1537

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1538 - CONVERSION FACTORS

Current through Register Vol. 13, July 5, 2024
(1) The conversion
				factors established by the department for goods and services, other than
				anesthesia services are:
(a) $60.47 on or
				after July 1, 2024.
(b) All prior
				conversion factors for services provided starting July 1, 2013, are available
				on the department's website.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1541

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1551

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1561

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1566

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1571

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1572

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1573

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1574

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1575

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1581

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1582

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1583

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1584

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1585

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1586

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1591 - UTILIZATION AND TREATMENT GUIDELINES

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 39-71-704,
					 MCA IMP:
					 39-71-704,
					 39-71-2905,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1593 - PRIOR AUTHORIZATION

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 39-71-704,
					 MCA IMP:
					 39-71-704,
					 MCA
					 24.29.1599
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1595 - INDEPENDENT MEDICAL REVIEW PROCESS

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 39-71-704,
					 MCA IMP:
					 39-71-704,
					 39-71-2905,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1596 - APPLICABILITY OF UTILIZATION AND TREATMENT RULES

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 39-71-704,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.15 - Nonfacility Service Rules › Rule 24.29.1599 - APPLICABILITY OF UTILIZATION AND TREATMENT GUIDELINES FOR MANAGED CARE ORGANIZATIONS OR PREFERRED PROVIDER ORGANIZATIONS

Current through Register Vol. 13, July 5, 2024
(1) Managed care organizations or preferred
				provider organizations providing any treatment for primary and secondary
				medical services to an injured worker shall use the Montana Guidelines. This
				rule does not alter or change how managed care organizations or preferred
				provider organizations are paid pursuant to
				39-71-704,
				MCA.
(2) The provisions of this
				rule apply to medical services provided, or proposed to be provided, on or
				after July 1, 2011.
AUTH: 39-71-293,
					 39-71-704,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1601 - DEFINITIONS

Current through Register Vol. 13, July 5, 2024
As used in this subchapter, the following definitions
				  apply:
(1) "Claim" means an injury or
				occupational disease where:
(a) liability has
				been accepted by the insurer; or
(b) payment has been made by the insurer
				pursuant to:
(i)
											39-71-608, MCA;
(ii)
											39-71-615, MCA; or
(iii) any other reservation of
				rights.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1604 - APPLICABILITY OF UTILIZATION AND TREATMENT RULES

Current through Register Vol. 13, July 5, 2024
(1) The following rules are subject to the
				applicability provisions of this rule:
(a)
				[ARM 24.29.1609 ];
(b) [ARM
				24.29.1611 ];
(c) [ARM 24.29.1621
				]; and
(d) [ARM 24.29.1641 ].
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1607 - APPLICABILITY OF FORMULARY RULES TO OUT-PATIENT SERVICES

Current through Register Vol. 13, July 5, 2024
(1) The provisions of these formulary rules
				apply to all claims arising on or after April 1, 2019, but only with respect to
				outpatient services.
(2) For claims
				arising before April 1, 2019, which are referred to as "legacy claims," the
				rules in this subchapter will apply to prescriptions written on or after April
				1, 2020, or 90 days after the insurer gives notice as provided in ARM
				24.29.1631, whichever is later.
(3)
				The provisions of [this subchapter], including the formulary adopted and
				automatically updated as provided in ARM 24.29.1616 apply as they are in effect
				on the date the prescription is written.
(4) Nothing in this subchapter excuses an
				insurer from providing medications that constitute primary medical services
				required to be furnished by
				39-71-704,
				MCA.
(5) Nothing in this subchapter
				requires an insurer to use the services of a PBM.
AUTH:
					 39-71-203,
					 39-71-704,
					 MCA; IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1609 - APPLICABILITY OF UTILIZATION AND TREATMENT GUIDELINES FOR MANAGED CARE ORGANIZATIONS OR PREFERRED PROVIDER ORGANIZATIONS

Current through Register Vol. 13, July 5, 2024
(1) Managed care organizations or preferred
				provider organizations providing any treatment for primary and secondary
				medical services to an injured worker shall use the Montana Guidelines. This
				rule does not alter or change how managed care organizations or preferred
				provider organizations are paid pursuant to
				39-71-704,
				MCA.
(2) The provisions of this
				rule apply to medical services provided, or proposed to be provided, on or
				after July 1, 2011.
AUTH: 39-71-293,
					 39-71-704,
					 MCA IMP:
					 39-71-704,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1611 - UTILIZATION AND TREATMENT GUIDELINES

Current through Register Vol. 13, July 5, 2024
(1) The department adopts the utilization and
				treatment guidelines provided by this rule to set forth the level and type of
				care for primary and secondary medical services. As provided by
				39-71-704, MCA, there is a
				rebuttable presumption that the Montana Guidelines establish compensable
				medical treatment for primary and secondary medical services for the injured
				worker. The applicable utilization and treatment guidelines are available
				electronically on the department's website. The Montana Guidelines incorporated
				by reference apply as follows:
(a) for
				medical services provided on or after July 1, 2023: "Montana Utilization and
				Treatment Guidelines, 8th edition, 2023"; and
(b) all prior Utilization and Treatment
				Guidelines starting July 1, 2011, are available on the department's website or
				by contacting the department to request a copy.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1616 - INCORPORATION BY REFERENCE AND UPDATES TO THE FORMULARY

Current through Register Vol. 13, July 5, 2024
(1) The department will annually undertake
				formal rulemaking to select a formulary. The formulary may be any one of the
				following:
(a) a formulary published by a
				commercial vendor;
(b) a formulary
				published by another state for use in workers' compensation and occupational
				disease claims; or
(c) a formulary
				specially developed by the department.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1621 - PRIOR AUTHORIZATION

Current through Register Vol. 13, July 5, 2024
(1) Prior
				authorization must be obtained in cases where treatment(s) or procedure(s) are
				requested that:
(a) are not specifically
				addressed or recommended by the Montana Guidelines for a body part that is
				covered by a guideline or for body parts not covered by the Montana
				Guidelines;
(b) are after maximum
				medical improvement;
(c) are beyond
				the duration and frequency limits set out in the guidelines; or
(d) the guidelines require prior
				authorization before proceeding with the treatment.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1624 - INTEGRATION OF FORMULARY WITH MONTANA UTILIZATION AND TREATMENT GUIDELINES - WHEN PRIOR AUTHORIZATION IS REQUIRED

Current through Register Vol. 13, July 5, 2024
(1) The formulary is considered to be a part
				of the Montana Guidelines established by the department.
(2) A medical provider is expected to write a
				prescription for medication in accordance with the Montana Guidelines, as
				adopted by ARM 24.29.1611, and in accordance with the formulary adopted by ARM
				24.29.1616.
(3) Because the
				formulary is part of the Montana Guidelines, medical providers are required to
				prescribe in accordance with the provisions of the formulary unless the
				provider can sufficiently articulate sound medical reasoning to vary from the
				formulary.
(4) Insurers shall pay
				for medications that are prescribed in a manner consistent with the formulary,
				subject to the medical provider furnishing documentation as required by ARM
				24.29.1621. Payments for medications are subject to the provisions of
				39-71-727,
				MCA.
(5) Pursuant to the formulary,
				prior authorization for an injury appropriate medication is not required as
				follows:
(a) the medication is listed as "Y"
				on the formulary; or
(b) the
				medication is listed as "N" on the formulary, and the prescription is:
(i) written within seven days of the
				occurrence of the workplace injury; and
(ii) limited to a maximum of a seven-day
				supply of the medication.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1631 - SPECIAL PROVISIONS FOR TRANSITION OF LEGACY CLAIMS - WHEN APPLICABLE

Current through Register Vol. 13, July 5, 2024
(1) The insurer shall notify in writing the
				injured worker and the treating physician (who, for the purposes of this rule,
				also includes any other prescribing medical provider) that a claim constitutes
				a legacy claim in which the insurer will enforce the applicability of these
				formulary rules.
(2) The
				notification required by (1) must include at least the following information:
(a) the name of the injured worker;
(b) the name of the treating physician or
				other prescribing medical provider;
(c) the name of each medication that is
				affected by the notice;
(d) the
				name and contact information of the claims examiner responsible for the injured
				worker's claim; and
(e) the date
				upon which the insurer will enforce the applicability of these formulary
				rules.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1645 - EXPEDITED CASE REVIEW FOR PRESCRIPTION MEDICATIONS BY DLI MEDICAL DIRECTOR

Current through Register Vol. 13, July 5, 2024
(1) Expedited case review is available only
				when insurer declines to authorize further dispensing of an already prescribed
				medication and halting the supply of that medication appears likely to result
				in a medical emergency.
(2) A
				medical emergency occurs when all three of the following circumstances are
				present:
(a) the medical condition has a
				sudden onset;
(b) the medical
				condition manifests itself by acute symptoms of sufficient severity, including
				severe pain; and
(c) in the absence
				of immediate medical attention, the medical condition could reasonably be
				expected to result in:
(i) placing the
				injured worker's health or bodily functions in serious jeopardy; or
(ii) a serious dysfunction of any body organ
				or part of the injured worker.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.16 - Utilization and Treatment Guidelines › Rule 24.29.1648 - DISPUTE RESOLUTION FOR FORMULARY

Current through Register Vol. 13, July 5, 2024
(1) Disputes between the treating physician
				and the insurer regarding the formulary are subject to the same process
				available for other disputes regarding the Montana Guidelines, except as
				provided in ARM 24.29.1645.
(2) A
				dispute between the injured worker and the insurer regarding the use or
				application of the formulary constitutes a dispute concerning benefits, and may
				be resolved as provided by
				39-71-2905,
				MCA.
AUTH:
					 39-71-203,
					 39-71-704,
					 MCA; IMP:
					 39-71-704,
					 39-71-2905,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1701 - REHABILITATION PROVIDER DESIGNATION (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-1014,
					 39-71-1015,
					 39-71-1023,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1702

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP:
					 39-71-1015 to
					 39-71-1019,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1705 - LOCAL JOB POOL AREA DEFINITION (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-1011,
					 39-71-1012,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1710 - AUXILIARY REHABILITATION BENEFITS

Current through Register Vol. 13, July 5, 2024
(1) A
				claimant may request auxiliary rehabilitation benefits and must obtain the
				insurer's authorization prior to incurring such expenses.
(2) Mileage and per diem expenses may be paid
				for up to five round trips in searching for new employment.
(3) Relocation expenses include actual
				expenses of moving by a commercial mover, or actual charges for rental of a
				truck or trailer by a commercial rental company and receipted fuel
				expenses.
(4) Auxiliary
				rehabilitation benefits do not include the expenses of long term
				commuting.
(5) The department may
				order the insurer to pay such other reasonable and necessary auxiliary
				rehabilitation benefits as it deems appropriate.
AUTH:
					 39-71-203, MCA; IMP:
					 39-71-1025,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1721

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP: Title 39, chap. 71, part 10, MCA (1987) (1989) and
					 (1991)
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1722

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP: Title 39, chap. 71, part 10,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1725 - INFORMATION TO BE INCLUDED IN THE REHABILITATION PLAN

Current through Register Vol. 13, July 5, 2024
(1) The rehabilitation plan must include the
				following information:
(a) plan objectives
				that summarize the type and duration of the training agreed to by the parties.
				It should include where the claimant will receive the training and identify any
				prerequisites and/or contingencies;
(b) a projection of expenditures to be made
				pursuant to the plan including the date the funds are needed and to whom the
				funds should be paid;
(c) a
				description of the claimant's responsibilities under the plan;
(d) a description of the insurer's
				responsibilities under the plan;
(e) a description of the vocational
				rehabilitation provider's responsibilities; and
(f) the signatures of both the claimant and
				the authorized insurer's representative.
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1727

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP: Title 39, chap. 71, part 10,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1731

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP: Title 39, chapter 71, part 10,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1733

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP: Title 39, chapter 71, part 10,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1735

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP: Title 39, chapter 71, part 10,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1737

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203,
					 MCA IMP: Title 39, chap. 71, part 10,
					 MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1741 - PAYMENT OF REHABILITATION EXPENSES

Current through Register Vol. 13, July 5, 2024
(1) The
				insurer must pay for tuition, fees, books, supplies, and equipment which are a
				prerequisite for the retraining and required by the provider of the training.
				Unless otherwise agreed upon by the insurer and the claimant, the insurer is
				not responsible for f optional expenses which are not required to complete the
				retraining plan.
(2) The insurer is
				not liable for tuition, fees, books or equipment costs incurred if the claimant
				fails to complete registration requirements or fails to properly withdraw from
				the agreed upon training program. The insurer is entitled to any refund of
				tuition or fees that may be paid by the retraining entity upon the early
				withdrawal of the claimant from the training program. In addition, the insurer
				is entitled to possession of books, tools or other equipment previously paid
				for by the insurer upon the pre-graduation withdrawal of the claimant from the
				agreed upon training program.
AUTH:
					 39-71-203, MCA; IMP: Title 39,
					 chapter 71, part 10, MCA
Administrative Rules of Montana › Department 24 - LABOR AND INDUSTRY › Chapter 24.29 - WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE › Subchapter 24.29.17 - Rehabilitation › Rule 24.29.1761 - DISPUTES OVER REHABILITATION EXPENSES (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 39-71-203, MCA; IMP: Title 39,
					 chapter 71, part 10, MCA