reglab/statecodes huggingface dataset:
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.89 - MENTAL HEALTH SERVICES › Subchapter 37.89.10 - Grants to Counties › Rule 37.89.1003 - CRISIS DIVERSION GRANTS, APPLICATION AND PARTICIPANTS

Current through Register Vol. 13, July 5, 2024
(1) At the beginning of the program's funding
				cycle, the department will issue a request for proposal (RFP) describing the
				program requirements, evaluation criteria, and eligibility criteria for award
				of Crisis Diversion Grant funding.
(2) The following entities may submit an
				application for Crisis Diversion Grants awarded under this subchapter:
(a) a county government as defined in ARM
				37.2.902;
(b) a federally recognized tribal government;
				or
(c) any combination of (a) and
				(b).
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.89 - MENTAL HEALTH SERVICES › Subchapter 37.89.10 - Grants to Counties › Rule 37.89.1005 - CRISIS DIVERSION GRANTS, DETERMINING GRANT AMOUNTS

Current through Register Vol. 13, July 5, 2024
(1) The department will base Crisis Diversion
				Grants awarded under this subchapter on the criteria specified in
				53-21-1203,
				MCA.
(2) The total amount of Crisis
				Diversion Grants will not exceed available funding.
(3) For each county and federally recognized
				tribal government, the department will include in the request for proposal
				(RFP) the rate at which local funds will be matched. The match rate is based on
				the most recent Montana State Hospital admission data and census data, as
				provided in
				53-21-1203,
				MCA.
(4) The department will
				bi-annually recalculate the match rate.
(5) Eligible participants may use cash or
				in-kind contributions as matching funds.
(6) If appropriation remains after grants
				have been allocated, the department will allocate remaining funds to a county
				or federally recognized tribal government that requests continued funding of a
				project funded in the previous biennium. In allocating these funds, the
				department will use the match rate published in the RFP.
AUTH:
					 53-21-1203,
					 MCA IMP:
					 53-21-1203,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.89 - MENTAL HEALTH SERVICES › Subchapter 37.89.10 - Grants to Counties › Rule 37.89.1007 - CRISIS DIVERSION GRANTS, PRO RATA DISTRIBUTION

Current through Register Vol. 13, July 5, 2024
(1) If the amount requested for Crisis
				Diversion Grants exceeds the funding available, the department shall allocate
				available funding based on a percentage of the total points awarded to an
				applicant.
(2) Points will be
				awarded by an evaluation committee, as described by the criteria listed within
				the request for proposal.
(3) If
				the amount requested for Crisis Diversion Grants exceeds the funding available,
				the department may use discretion to fund only specific activities within a
				proposal.
AUTH:
					 53-21-1203,
					 MCA; IMP:
					 53-21-1203,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.89 - MENTAL HEALTH SERVICES › Subchapter 37.89.10 - Grants to Counties › Rule 37.89.1009 - CRISIS DIVERSION GRANTS, STRATEGIC PLAN REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) Successful grant applicants will be those
				submitting a grant application with at least the following elements:
(a) a jail diversion and crisis intervention
				strategic plan, which must include a plan for community-based or regional
				emergency crisis response, court-ordered detention and examination services,
				and short term inpatient treatment;
(b) a detailed proposal for how the grant
				applicant and other local entities will collaborate and commit local funds for
				mental health services for crisis intervention, jail diversion, involuntary
				precommitment, and short-term inpatient treatment costs including a plan for
				the collection and reporting of data and information;
(c) a detailed budget that identifies cash
				and in-kind local contribution amounts designated for match, anticipated
				expenses for each fiscal year being applied for including start up or one time
				only costs. Multi-jurisdiction grant applications must identify the county or
				federally recognized tribal government that will act as the fiduciary agent for
				distribution of the grant funds;
(d) a statement from the grant applicant
				agreeing to report key data elements according to the department's
				specifications; and
(e) counties
				that include tribal lands must demonstrate coordination efforts with tribal
				representatives both on and off reservations.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.89 - MENTAL HEALTH SERVICES › Subchapter 37.89.10 - Grants to Counties › Rule 37.89.1021 - JAIL DIVERSION AND CRISIS INTERVENTION, CONTRACTS FOR PSYCHIATRIC TREATMENT BEDS

Current through Register Vol. 13, July 5, 2024
(1) The department
				may contract with a mental health facility for psychiatric treatment beds as
				provided for in
				53-21-1204,
				MCA, to the extent of available funding.
(2) Contracts will be developed in each
				service area as defined in
				53-21-1001,
				MCA.
(3) Eligible providers
				include:
(a) licensed mental health centers
				who operate a secured crisis stabilization facility (SCSF) as defined in ARM
				37.106.2027; and
(b) hospitals, including critical access
				hospitals.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.401 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: FEDERAL AUTHORIZATION AND STATE ADMINISTRATION

Current through Register Vol. 13, July 5, 2024
(1) The department has established the Severe
				and Disabling Mental Illness, Home and Community Based Services waiver program
				for members who have severe and disabling mental illness, as defined in
				[37.90.409 ], and who
				would otherwise have to reside in and receive Medicaid reimbursed care in a
				nursing facility.
(2) The
				department, in accordance with state and federal statutes, administrative
				rules, federal-state agreements governing the provision of the Medicaid funded
				home and community-based services delivered under this program, and within the
				available funding appropriated for the program, may determine within in its
				discretion:
(a) the types of services
				available through the program;
(b)
				the amount, scope, and duration of the services available through the
				program;
(c) the target population
				to be served through the program;
(d) the total number of members who may
				receive services through the program;
(e) delivery approach; and
(f) eligibility of members for the
				program.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.402 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: THE PROVISION OF SERVICES

Current through Register Vol. 13, July 5, 2024
(1)
				The services available through the waiver program are:
(a) adult day health, as defined in ARM
				37.90.430;
(b) behavioral intervention assistant, as
				defined in ARM
				37.90.436;
(c) case management, as defined in ARM
				37.90.425;
(d) community transition services, as defined
				in ARM
				37.90.415;
(e) consultative clinical and therapeutic
				services, as defined in [37.90.418 ];
(f) environmental accessibility adaptations,
				as defined in [37.90.409 ];
(g) health and wellness, as defined in ARM
				37.90.417;
(h) homemaker chore, as defined in ARM
				37.90.437;
(i) life coach, as defined in [37.90.434
				];
(j) meals, as defined in ARM
				37.90.446;
(k) non-medical transportation, as defined in
				ARM
				37.90.450;
(l) pain and symptom management, as defined
				in ARM
				37.90.416;
(m) personal assistance service, as defined
				in ARM
				37.90.431;
(n) personal emergency response system, as
				defined in ARM
				37.90.448;
(o) private duty nursing, as defined in ARM
				37.90.447;
(p) residential habilitation, as defined in
				ARM
				37.90.428,
				37.90.429,
				37.90.432,
				37.90.460,
				and
				37.90.461;
(q) respite care, as defined in ARM
				37.90.438;
(r) specialized medical equipment and
				supplies, as defined in ARM
				37.90.449;
				and
(s) supported employment, as
				defined in ARM
				37.90.445.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.403 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: DEFINITIONS

Current through Register Vol. 13, July 5, 2024
(1) "Activities of
				daily living" means basic personal everyday activities.
(2) "Community First Choice (CFC) and
				Personal Assistance Service (PAS) Programs are programs designed to provide
				long term supportive care in a home setting.
(3) "Institutionalization" means placement in
				a nursing facility, a mental health nursing facility, or a state mental health
				hospital.
(4) "Instrumental
				activities of daily living" means household tasks which are limited to cleaning
				the area used by the member.
(5)
				"Level of care assessment" means a functional assessment used to determine if
				an individual requires the level of care normally provided in a nursing
				facility.
(6) "Level of impairment
				assessment" means an assessment used to identify areas in which a member
				requires long term services and supports.
(7) "Member" means an individual who is
				Medicaid eligible.
(8) "Mental
				health professional" means as defined in
				53-21-102,
				MCA.
(9) "Quality improvement
				organization" means a group of health quality experts organized to improve the
				quality of care delivered to members.
(10) "Serious occurrence" means a significant
				event which affects the health, welfare, and safety of a member served in home
				and community-based services. The department has established a system of
				reporting and monitoring critical and non-critical incidents that involve
				members served by the program in order to identify, manage, and mitigate
				overall risk to the member. For information pertaining to reporting a serious
				occurrence, see the SDMI HCBS Policy #305, located at:
https://dphhs.mt.gov/amdd/HCBSPolicyManual
.
(11) "Severe and disabling mental illness" is
				defined in [37.90.409
				].
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.404 and 37.90.405 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.406 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: PROVIDER REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) The
				waiver program services may only be provided by a provider that:
(a) is enrolled as a Montana Medicaid
				provider;
(b) meets all facility,
				licensing, and insurance requirements applicable to the services offered, the
				service settings provided, and the professionals employed; and
(c) meets the criteria as a qualified
				provider authorized to deliver the service as specified in the Provider
				Requirements Matrix for the SDMI HCBS waiver program. The department adopts and
				incorporates by reference the Provider Requirements Matrix for the SDMI HCBS
				waiver program, dated July 1, 2020, and located at:
https://dphhs.mt.gov/amdd/HCBSPolicyManual
.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.407 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.408 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: REIMBURSEMENT

Current through Register Vol. 13, July 5, 2024
(1) The department
				adopts and incorporates by reference the Medicaid Home and Community-Based
				Services for Adults with Severe and Disabling Mental Illness fee schedule.
				Unless otherwise provided for in rule, the provider reimbursement rate for
				waiver program services is stated in the department's fee schedule as provided
				in ARM
				37.85.105(5)(b).
				These fees are calculated based on:
(a) the
				biennial legislative appropriation; and
(b) the estimated demand of covered services
				during the biennium.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.409 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: SEVERE AND DISABLING MENTAL ILLNESS CRITERIA

Current through Register Vol. 13, July 5, 2024
(1) To qualify for the SDMI HCBS waiver
				program, a member must:
(a) be 18 years of
				age or older;
(b) have a minimum of
				three areas of high-level impairment indicated by a score of three or higher on
				the Severe and Disabling Mental Illness, Home and Community-Based Waiver,
				Evaluation and Level of Impairment form; and
(c) have experienced one of the following in
				the previous 12 months:
(i) involuntarily
				committed because of a mental disorder to the Montana State Hospital or the
				Montana Mental Health Nursing Care Center for at least 30 consecutive days ;
				or
(ii) diagnosed with one of the
				diagnoses in (2), excluding mild or not otherwise specified.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.410 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: ELIGIBILITY AND SELECTION

Current through Register Vol. 13, July 5, 2024
(1)
				A member is eligible for enrollment in the program if the member meets the
				following criteria:
(a) is at least 18 years
				of age;
(b) is Medicaid
				eligible;
(c) requires the level of
				care (LOC) of a nursing facility as determined by the Quality Improvement
				Organization under contract with the department;
(d) meets the severe and disabling mental
				illness criteria at [37.90.409 ];
				and
(e) meets the level of
				impairment criteria established in the waiver program Evaluation and Level of
				Impairment (LOI) form, as determined by a licensed mental health professional,
				by scoring a three or higher on at least two areas.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.411 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.412 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: PERSON-CENTERED RECOVERY PLAN

Current through Register Vol. 13, July 5, 2024
(1) A Person-Centered Recovery Plan (PCRP) is
				a written plan that identifies the supports and services that are necessary for
				the member to remain out of institutional level of care, allow the member to
				function at the member's maximum capacity, and achieve personal goals towards
				recovery.
(2) All services must be
				specifically authorized in writing in the member's PCRP.
(3) Each PCRP must be developed, reviewed,
				and revised by the case management team. The case management team must:
(a) initiate the development of the PCRP upon
				the member's enrollment into the SDMI HCBS waiver program;
(b) have monthly telephone contact with the
				member;
(c) review the PCRP
				quarterly with the member in the member's residence, place of service, or other
				appropriate setting, and update the PCRP if there are any changes to the
				information listed in (5)(a) through (j); and
(d) complete an annual review of the PCRP
				with the member and update the PCRP if there are any changes to the information
				listed in (5)(a) through (j).
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.413 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: COST OF PERSON-CENTERED RECOVERY PLAN

Current through Register Vol. 13, July 5, 2024
(1) In order to maintain the program cost
				within the appropriated federal and state funds, the cost of a member's
				Person-Centered Recovery Plan (PCRP) may be limited by the department
				.
(2) The total annual cost of
				services for each member, except as approved by the department, may not exceed
				a maximum amount set by the department.
(3) The department may limit the services
				members receive under the waiver program based upon the appropriation of
				funding by the legislature.
(4) The
				cost of services in the PCRP must be determined prior to implementation of the
				PCRP and may be revised as necessary by the department or the department's
				designee.
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.414 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: ENVIRONMENTAL ACCESSIBILITY ADAPTATIONS

Current through Register Vol. 13, July 5, 2024
(1) Environmental accessibility adaptations
				are modifications to a member's home that are necessary to increase
				accessibility, independence, and prevent the need for a higher level of
				care.
(2) The member's need for the
				adaptation must be documented by an individual with the appropriate licensure,
				certification, or experience with home modification to document the member's
				need for the adaptation to increase accessibility, independence, and prevent
				the need for a higher level of care.
(3) The provision of environmental
				accessibility adaptations may include the provision of consultation regarding
				the appropriateness of the equipment or supplies.
(4) The waiver program does not cover:
(a) additions to the square footage of the
				home;
(b) services that are for
				comfort or convenience;
(c)
				services that are not a direct and specific benefit for the member;
				and
(d) services that are for
				maintenance, repair, or building code compliance that is the responsibility of
				the homeowner.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.415 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: COMMUNITY TRANSITION SERVICES

Current through Register Vol. 13, July 5, 2024
(1) Community transition services are
				nonrecurring set-up expenses for members who are transitioning from an
				institutional setting into a community living setting or a private residence
				and are necessary to coordinate and purchase to establish a basic
				household.
(2) The department may
				approve community transition services on a case-by-case basis from other
				settings in circumstances that address a member's health or safety.
(3) The case management team must complete a
				needs assessment prior to implementation of the service.
(4) The needs assessment must demonstrate
				community transition services are required to:
(a) address a health or safety concern;
				and
(b) discharge from or avert
				institutionalization.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.416 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: PAIN AND SYMPTOM MANAGEMENT

Current through Register Vol. 13, July 5, 2024
(1)
				Pain and symptom management is defined as a service that provides traditional
				and nontraditional methods of pain reduction or management.
(2) Allowable non-traditional or mind-body
				therapies include:
(a) acupuncture;
(b) reflexology;
(c) massage therapy;
(d) craniosacral therapy;
(e) hypnosis;
(f) biofeedback; and
(g) pain mitigation
				counseling/coaching.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.417 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: HEALTH AND WELLNESS

Current through Register Vol. 13, July 5, 2024
(1) Health
				and wellness services are services that assist a member in acquiring,
				retaining, and improving self-help, socialization, and adaptive skills to
				reside successfully in the community.
(2) The services include:
(a) classes on weight loss, smoking
				cessation, and healthy lifestyles;
(b) health club memberships and exercise
				classes;
(c) art, music, and dance
				classes;
(d) costs associated for
				participating in adaptive sports and recreational activities;
(e) classes on managing disabilities;
				and
(f) hippotherapy.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.418 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: CONSULTATIVE CLINICAL AND THERAPEUTIC SERVICES

Current through Register Vol. 13, July 5, 2024
(1) Consultative clinical and therapeutic
				services provide comprehensive expertise, training, and technical assistance to
				improve the ability of providers and caregivers to carry out therapeutic
				interventions and reduce challenges that may be interfering with a member's
				daily functioning, independence, and quality of life.
(2) Consultative clinical and therapeutic
				services include:
(a) a clinical/functional
				evaluation;
(b) implementation of
				positive behavioral supports as part of the member's Person-Centered Recovery
				Plan (PCRP);
(c) training and
				technical assistance for the member's paid and non-paid caregivers to implement
				the positive behavioral supports; and
(d) monitoring the member's response to the
				positive behavioral supports and updating the PCRP if necessary.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.419 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: HOMEMAKER CHORE

Current through Register Vol. 13, July 5, 2024
(1) Homemaker
				chore services are extensive cleaning beyond the scope of general household
				cleaning under Community First Choice/Personal Assistance Service (CFC/PAS)
				state plan and is needed to return a residence to a sanitary and safe
				environment.
(2) Homemaker chore
				may be provided by:
(a) entities that provide
				deep cleaning, yard, trash removal, and moving services;
(b) home health providers; and
(c) CFC/PAS providers.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.420 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: NOTICE AND FAIR HEARING

Current through Register Vol. 13, July 5, 2024
(1) The
				department provides written notice to a member when a determination is made by
				the department concerning:
(a) Medicaid
				eligibility;
(b) eligibility for
				the SDMI HCSB waiver program; and
(c) changes to a member's Person-Centered
				Recovery Plan (PCRP).
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.421 through 37.90.424 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.425 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: CASE MANAGEMENT

Current through Register Vol. 13, July 5, 2024
(1) Case
				management means case management as defined at the Code of Federal Regulations
				(CFR) at
				42 CFR
				440.169(d)(e).
(2) Case management services offered under
				the Severe and Disabling Mental Illness, Home and Community Based waiver
				program are provided through a selective contract for conflict free case
				management under the authority of a 1915(b)(4) waiver authorized under Section
				1915(b) of the Social Security Act.
(3) A case management team must consist of:
(a) a registered nurse or a licensed
				practical nurse, with experience on a case management team serving members
				through a program of home and community-based services for the elderly and
				persons with physical disabilities, or severe and disabling mental illness;
				and
(b) a social worker with a
				bachelor's degree and two consecutive years' experience providing case
				management services to adults with severe and disabling mental
				illness.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.426 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: MEALS

Current through Register Vol. 13, July 5, 2024
(1) Meal service is
				the provision of hot or cold meals to a member up to twice daily.
(2) Meals may be provided by:
(a) a non-profit entity or public agency that
				provides congregate or home-delivered meals on a regular basis to individuals
				who are unable to gain access to meals due to age or disability;
(b) entities that provide home-delivered
				meals that are transported from a preparation site to the member's residence;
				or
(c) meal preparation
				entities.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.427 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.428 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: ADULT RESIDENTIAL CARE REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.429 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: SUPPORTED LIVING, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.430 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: ADULT DAY HEALTH

Current through Register Vol. 13, July 5, 2024
(1) Adult day
				health is a supervised daytime program that offers health and social services
				for adults with severe and disabling mental illness to ensure optimal
				functioning of the member and enrichment activities through engaging social
				community but who do not require the intervention or services of a registered
				nurse or licensed rehabilitative therapist onsite.
(2) An entity providing adult day health
				services must be licensed as an adult day care center as provided at ARM
				37.106.301, et seq.
(3) Adult day health services are
				furnished in an outpatient setting that does not include overnight residential
				services.
(4) Adult day health
				includes the following service components:
(a) meals as described in ARM
				37.106.2616;
(b) health, nutritional, recreational, and
				social habilitation; and
(c)
				transportation between the member's place of residence and the adult day health
				center.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.431 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: PERSONAL ASSISTANCE SERVICE

Current through Register Vol. 13, July 5, 2024
(1)
				Personal assistance service (PAS) is the provision of long term service and
				supports in a member's home and in the community tailored to each member's
				needs and living situation.
(2) PAS
				may be provided by:
(a) a home health agency
				provider;
(b) a community first
				choice/personal assistance service (CFC/PAS) provider; or
(c) a member self-directing the service, as
				described in [37.90.439 ].
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.432 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: HABILITATION, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.433 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: BEHAVIORAL INTERVENTION ASSISTANT

Current through Register Vol. 13, July 5, 2024
(1) Behavioral Intervention Assistant service
				is provided when the personal assistance services available in the waiver and
				state plan are insufficient in meeting the needs of the member due to
				challenging behaviors and assistance is required to improve or restore function
				in activities of daily living (ADL), instrumental activities of daily living
				(IADL), or social and adaptive skills.
(2) Behavioral intervention assistant service
				is provided by entities that are licensed and insured to deliver personal care
				services.
(3) Behavioral
				intervention assistants must have at least eight hours of specialized
				behavioral health training annually that is approved by the
				department.
(4) Behavioral
				intervention assistants provide instructive assistance, cueing to prompt, and
				supervision to assist the member in completion of ADLs, IADLs, and community
				integration activities.
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.434 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: LIFE COACH

Current through Register Vol. 13, July 5, 2024
(1) Life coach
				focuses on social determinants of health (SDoH) that impact a member's overall
				health and well-being and addresses the obstacles that impede a member's
				progress towards self-sufficiency, improved health, and well-being.
(2) Life coach services may be provided by:
(a) independent living centers;
(b) home health agencies; and
(c) other entities approved by the
				department.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.435 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: SUPPORTED EMPLOYMENT

Current through Register Vol. 13, July 5, 2024
(1)
				Supported employment services assist members to prepare for, find, and keep
				competitive jobs that exist in the open labor market, pay at least minimum
				wage, and are in a variety of integrated work settings.
(2) Supported employment services are
				provided by public or private employment agencies, Independent Living Centers,
				organizations that provide support for individuals with disabilities, Mental
				Health Centers, or a self-employed individual with at least:
(a) an associate degree in vocational
				rehabilitation, career development, or disability services;
(b) an Individual Placement Services (IPS)
				certification; or
(c) two years of
				experience in vocational rehabilitation, career development, or disability
				services and receive an IPS certification within six months of hire.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.436 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: SPECIALLY TRAINED ATTENDANT CARE, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.437 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: HOMEMAKING REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.438 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: RESPITE CARE

Current through Register Vol. 13, July 5, 2024
(1) Respite care is
				planned or emergency care provided to a member with need for support and
				supervision in order to provide temporary relief to the unpaid caregiver of the
				member.
(2) Respite care services
				may be provided in:
(a) a member's place of
				residence;
(b) an alternative
				private residence; or
(c) a
				residential habilitation setting or a nursing facility.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.439 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: SELF-DIRECTED SERVICES

Current through Register Vol. 13, July 5, 2024
(1)
				Self-directed services may only be provided by an agency.
(2) Services may be directed by:
(a) a member who has the capacity to
				self-direct, as determined by the department or the department's
				designee;
(b) a legal
				representative of the member, including a parent, spouse, or legal guardian;
				or
(c) a nonlegal representative
				freely chosen by the member or his/her legal representative.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.440 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: OUTPATIENT OCCUPATIONAL THERAPY, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.441 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: PSYCHO-SOCIAL CONSULTATION, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.442 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: SUBSTANCE-RELATED DISORDERS SERVICES, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.443 and 37.90.444 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.445 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: DIETETIC SERVICES, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.446 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE DISABLING MENTAL ILLNESS: NUTRITION, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-2-401,
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.447 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: PRIVATE DUTY NURSING

Current through Register Vol. 13, July 5, 2024
(1) Private
				duty nursing are medically necessary nursing services delivered to a member in
				their place of residence.
(2)
				Private duty nursing may be provided by:
(a)
				a licensed registered nurse (RN); or
(b) a licensed practical nurse (LPN) under
				the supervision of a RN, physician, dentist, osteopath, or podiatrist
				authorized by the state of Montana to prescribe medication.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.448 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: PERSONAL EMERGENCY RESPONSE SYSTEMS

Current through Register Vol. 13, July 5, 2024
(1) A personal emergency response system
				(PERS) is an electronic device used to secure assistance in an emergency
				situation to allow a member to gain greater independence.
(2) A PERS must be connected to an emergency
				response unit with the capacity to activate emergency personnel.
(3) The provision of a personal emergency
				response system as a service does not include the purchase, installation, or
				routine monthly charges of a telephone.
AUTH:
					 53-2-201,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.449 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: SPECIALIZED MEDICAL EQUIPMENT AND SUPPLIES

Current through Register Vol. 13, July 5, 2024
(1) Specialized medical equipment and
				supplies is the provision of items of medical equipment and supplies to a
				member for the purpose of maintaining and improving the member's ability to
				reside at home and to function in the community.
(2) Specialized medical equipment and
				supplies must:
(a) be functionally necessary
				and relate specifically to the member's disability;
(b) substantively meet the member's needs for
				accessibility, independence, health, or safety;
(c) be likely to improve the member's
				functional ability or the ability of a caregiver or service provider to
				maintain the member in the member's home; and
(d) be the most cost-effective item that can
				meet the needs of the member.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.450 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: NONMEDICAL TRANSPORTATION

Current through Register Vol. 13, July 5, 2024
(1)
				Nonmedical transportation is the provision to a member of transportation
				through common carrier or private vehicle for access to social or other
				nonmedical activities.
(2)
				Nonmedical transportation services are provided only after volunteer
				transportation services, or transportation services funded by other programs,
				have been exhausted.
(3)
				Nonmedical transportation may be provided by accessible transportation
				providers, cabs, personal care provider agencies, and Life Coaches. Nonmedical
				transportation providers must show proof of:
(a) a valid Montana driver's license;
				and
(b) adequate automobile
				insurance.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.90 - MENTAL HEALTH MEDICAID FUNDED 1115 AND 1915 WAIVERS › Subchapter 37.90.4 - Home and Community-Based Services Waiver for Adults With Severe and Disabling Mental Illness › Rule 37.90.451 - HOME AND COMMUNITY-BASED SERVICES FOR ADULTS WITH SEVERE AND DISABLING MENTAL ILLNESS: RESIDENTIAL HABILITATION, ASSISTED LIVING

Current through Register Vol. 13, July 5, 2024
(1) Residential habilitation, assisted
				living, provides 24-hour services and supports designed to ensure the health,
				safety, and welfare of a member and assist the member acquiring and improving
				behaviors necessary to live and participate in the community.
(2) Assisted living facilities must be
				licensed in accordance with ARM Title 37, chapter 106, subchapter 28.
(3) Assisted living includes the following
				service components:
(a) personal
				care;
(b) social and recreational
				activities;
(c) medication
				management and oversite;
(d)
				medical escort;
(e) non-medical
				transportation;
(f) meals;
				and
(g) 24-hour onsite awake
				staff.