reglab/statecodes huggingface dataset:
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1206 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, PARTICIPATION REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) These
				requirements are in addition to those contained in rule generally applicable to
				Medicaid providers.
(2) Psychiatric
				residential treatment facility (PRTF) providers, as a condition of
				participation in the Montana Medicaid program, must comply with the following
				requirements:
(a) maintain a current license
				as a residential treatment facility under the rules of the department's Quality
				Assurance Division to provide PRTF services, or, if the provider's facility is
				not located within the state of Montana, maintain a current license in an
				equivalent category under the laws of the state in which the facility is
				located;
(b) maintain a current
				PRTF certification for Medicaid participation by the state in which the
				facility is located as required by the Centers for Medicare and Medicaid;
(c) for all providers, enter into
				and maintain a current provider enrollment form with the department's fiscal
				agent to provide psychiatric PRTF services;
(d) license and/or register facility
				personnel in accordance with applicable state and federal laws;
(e) for providers maintaining patient trust
				accounts, ensure that any funds maintained in those accounts are used only for
				those purposes for which the youth or legal representative has given written
				authorization. A provider may not borrow funds from these accounts for any
				purpose;
(f) maintain accreditation
				as a PRTF by an organization designated by the Secretary of the United States
				Department of Health and Human Services as authorized to accredit PRTF for
				Medicaid participation;
(g) submit
				to the department within 30 days of receipt, all documentation issued by the
				accrediting organization to the provider;
(h) agree to indemnify the department in the
				full amount of the state and federal shares of all Medicaid inpatient
				psychiatric services reimbursement paid to the facility during any period when
				federal financial participation is unavailable due to facility failure to meet
				the conditions of participation specified in these rules or due to other
				facility deficiencies or errors.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1207 - HOSPITAL-BASED PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) A
				hospital-based psychiatric residential treatment facility (PRTF) must meet the
				following requirements:
(a) the PRTF must be
				in a hospital facility that includes inpatient psychiatric hospital beds and
				provides inpatient hospital psychiatric care to individuals under age 21. The
				PRTF beds and the hospital beds must be owned and operated by a single entity,
				and they must be located in an integrated facility;
(b) the PRTF must be located in Montana;
(c) the inpatient psychiatric
				hospital beds and the PRTF beds must be served by a common administrative and
				support staff;
(d) the PRTF must
				be served by no less than one full-time equivalent psychiatrist for every 25
				youth;
(e) both the hospital and
				the PRTF must have an organized medical staff that is on call and available
				within 20 minutes, 24 hours a day, seven days a week; and
(f) both the hospital and the PRTF must have
				24-hour nursing care by licensed registered nurses.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1210 - OUT-OF-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICE REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-113,
					 MCA; IMP:
					 53-2-201,
					 53-6-101,
					 53-6-111,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1214 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, SUBSTANCE USE DISORDER ASSESSMENT AND TREATMENT (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-113,
					 MCA; IMP:
					 53-2-201,
					 53-6-101,
					 53-6-111,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1215 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, ASSESSMENT SERVICES

Current through Register Vol. 13, July 5, 2024
(1) Psychiatric
				residential treatment facility (PRTF) assessment services are provided by
				in-state PRTF facilities and must comply with the requirements of this
				subchapter and the applicable federal regulations for PRTF services.
(2) PRTF assessment services:
(a) require prior authorization by the
				department or its designee;
(b)
				are short-term lengths of stay, 14 days or less;
(c) are reimbursed 15% higher than the
				department's current Medicaid Youth Mental Health Fee Schedule for PRTF
				Services.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1216 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, BENEFIT LIMITS, CERTIFICATION OF NEED, UTILIZATION REVIEW AND INSPECTIONS OF CARE REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) Prior to
				admission and as frequently as the department deems necessary, the department
				or its agents may evaluate the medical necessity and quality of services for
				each Medicaid member.
(a) In addition to the
				other requirements of these rules, the provider must provide to the department
				or its agent upon request any records related to services or items provided to
				a Medicaid member.
(b) The
				department may contract with and designate public or private agencies or
				entities, or a combination of public and private agencies and entities, to
				perform utilization review, inspections of care, and other functions under this
				rule as an agent of the department.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1217 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, TREATMENT REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) PRTF services
				must include active treatment designed to achieve the discharge of the youth to
				a less restrictive level of care at the earliest possible time.
(2) PRTF services must be provided under the
				direction of a licensed physician.
(3) The PRTF treatment plan must be
				comprehensive and address all psychiatric, medical, educational, psychological,
				social, behavioral, and developmental treatment needs.
(4) The treatment plan and discharge plan for
				the youth must be reviewed at least every 30 days at the multidisciplinary
				treatment team meeting, and more frequently if there is a significant change in
				the condition of the youth. The multidisciplinary treatment team must be
				consistent with
				42 CFR
				441.156. The parent or legal representative
				of the youth must be invited to participate in these meetings, and given
				adequate notice to participate. Adequate notice means generally a week unless
				the condition of the youth dictates otherwise.
(5) PRTF services include only treatment or
				services provided in accordance with all applicable licensure, certification,
				and accreditation requirements, and these rules.
(6) The content of the treatment plan and
				discharge plan must meet all minimum state and federal requirements.
AUTH:
					 53-2-201,
					 53-6-113,
					 MCA; IMP:
					 53-2-201,
					 53-6-101,
					 53-6-111,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1222 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, INTERIM RATE AND COST SETTLEMENT PROCESS (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 MCA; IMP,
					 53-2-201,
					 53-6-101,
					 53-6-111,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1223 - IN-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, REIMBURSEMENT

Current through Register Vol. 13, July 5, 2024
(1) The Montana
				Medicaid Program will reimburse providers of inpatient psychiatric services
				provided to a youth in a psychiatric residential treatment facility (PRTF) for
				each patient day, which is consistent with the definition of a PRTF and all
				other applicable requirements are met.
(2) The Montana Medicaid Program will pay a
				provider for each Medicaid patient day, the following bundled per diem rate
				less any third party or other payments. The bundled per diem rate for in-state
				PRTF services is the lesser of:
(a) the
				amount specified in the department's Medicaid Youth Mental Health fee schedule,
				as adopted in ARM
				37.85.105;
				or
(b) the provider's usual and
				customary charges.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1224 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, CONTINUITY OF CARE PAYMENT

Current through Register Vol. 13, July 5, 2024
(1) Hospital-based
				psychiatric residential treatment facilities as defined in ARM
				37.87.1207
				qualify for a continuity of care payment.
(a)
				The amount of the continuity of care adjustor payment will be calculated and
				paid annually.
(b) The amount will
				be determined by the department according to the following formula:
				CCA=[M/D]*P:
(i) "CCA" represents the
				calculated continuity of care payment;
(ii) "M" is the number of Medicaid inpatient
				residential days provided by the facility for which the continuity of care
				payment is being calculated;
(iii)
				"D" is the total number of Medicaid inpatient residential days provided by all
				eligible facilities; and
(iv) "P"
				is the total amount available for distribution via the continuity of care
				payments. P equals 4% of the revenue generated by the Montana inpatient
				hospital utilization fee, plus federal financial participation.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1225 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, ADMINISTRATIVE REVIEW AND FAIR HEARING PROCEDURES

Current through Register Vol. 13, July 5, 2024
(1) The right to
				administrative review and fair hearing shall be in accordance with the
				provisions of ARM
				37.5.310.
53-2-201,
					 53-6-113,
					 MCA; IMP,
					 53-2-201,
					 53-6-101,
					 53-6-111,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.12 - Psychiatric Residential Treatment Facility Services › Rule 37.87.1226 - OUT-OF-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, REIMBURSEMENT

Current through Register Vol. 13, July 5, 2024
(1) The Montana
				Medicaid Program will reimburse a provider of inpatient psychiatric services
				provided to a youth in a psychiatric residential treatment facility (PRTF) for
				each patient day, in accordance with the requirements of this subchapter and
				the Children's Mental Health Bureau Medicaid Services Provider Manual, adopted
				and incorporated by reference in ARM
				37.87.903.
(2) The Montana Medicaid Program will
				reimburse a provider for each Medicaid patient day the following bundled per
				diem rate less any third party or other payments. The bundled per diem rate for
				out-of-state PRTF services is the lesser of:
(a) the amount specified in the department's
				Medicaid Youth Mental Health fee schedule, as adopted in ARM
				37.85.105; or
(b) the provider's usual and customary
				charges.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1301 and 37.87.1302 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1303 - HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: FEDERAL AUTHORIZATION AND AUTHORITY OF STATE TO ADMINISTER PROGRAM (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1305 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: ELIGIBILITY FOR PROGRAM (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1306 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: SELECTION FOR PLACEMENT (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1307 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: LOSS OF A SERVICE AND DISENROLLMENT (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1308 through 37.87.1312 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1313

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-6-113,
					 MCA; IMP:
					 53-6-101,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1314

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-6-113,
					 MCA; IMP:
					 53-6-101,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1315

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-6-113,
					 MCA; IMP:
					 53-6-101,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1316 through 37.87.1320 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1321 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: THE PROVISION OF SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1323 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE AND PLANS OF CARE: PLAN MANAGEMENT (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1325 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: COST OF PLAN OF CARE (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1326 through 37.87.1330 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1331 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: PROVIDER REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1333 - HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: REIMBURSEMENT (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1335 - HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NOTICE AND FAIR HEARING (REPEALED)

Current through Register Vol. 13, July 5, 2024
AUTH:
					 53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP:
					 53-6-402,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1336 and 37.87.1337 - Reserved

Current through Register Vol. 13, July 5, 2024
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1338 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CONSULTATIVE CLINICAL AND THERAPEUTIC SERVICES, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1339 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CUSTOMIZED GOODS AND SERVICES, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1340 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: EDUCATION AND SUPPORT SERVICES, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1341 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: HOME-BASED THERAPY SERVICES, REQUIREMENTS (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1342 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NONMEDICAL TRANSPORTATION SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1343 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: RESPITE CARE SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1344 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE : FAMILY SUPPORT SPECIALIST SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1345 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CAREGIVER PEER-TO-PEER SUPPORT SPECIALIST SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1346 - HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: WRAPAROUND FACILITATION SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-6-402,
					 MCA; IMP,
					 53-6-402,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1350 - INTEGRATED CO-OCCURRING TREATMENT (ICT), DEFINITIONS

Current through Register Vol. 13, July 5, 2024
(1) "Community
				psychiatric supportive treatment (CPST)" means a treatment method that assists
				a youth and family members or other collaterals to identify strategies or
				treatment options associated with the youth's mental illness, with the goal of
				minimizing the negative effects of mental illness symptoms or emotional
				disturbances or associated environmental stressors which interfere with the
				youth's daily living, financial management, housing, academic or employment
				progress, personal recovery or resilience, family or interpersonal
				relationships, and community integration.
(2) "Fidelity" means adherence to the
				integrated co-occurring treatment (ICT) model, defined in (3). A program which
				adheres to the ICT model is more likely to replicate the positive outcomes of
				the model's initial implementation or testing.
(3) "Integrated co-occurring treatment (ICT)
				model" means the ICT model developed by the Center for Innovative Practices at
				Case Western Reserve University. Services are provided to the fidelity of the
				model in the home or community where the youth lives, with the goal of safely
				maintaining the youth in the least restrictive, most normative environment. The
				frequency and intensity of services may fluctuate based on the needs and unique
				circumstances of the youth and family. ICT provides a family driven,
				comprehensive mix of integrated services designed to meet the mental health and
				substance abuse needs of the youth through implementation of the following
				services:
(a) ICT therapeutic interventions
				as described in (6); and
(b) CPST
				as described in (1).
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1351 - INTEGRATED CO-OCCURRING TREATMENT (ICT), ELIGIBILITY

Current through Register Vol. 13, July 5, 2024
(1) ICT services are available to Medicaid
				eligible youth as defined in ARM
				37.87.102.
(2) The youth must have a co-occurring
				substance use disorder (SUD) as defined by the most current version of the
				Diagnostic and Statistical Manual of Mental Disorders (DSM) and a serious
				emotional disturbance (SED) as defined in the manual, adopted and incorporated
				by reference in ARM
				37.87.903.
(3) The youth must undergo an integrated
				bio-psycho-social assessment which supports referral to the ICT
				program.
AUTH:
					 53-2-201,
					 53-6-113,
					 MCA; IMP:
					 53-6-101,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1352 - INTEGRATED CO-OCCURRING TREATMENT (ICT), REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) Providers of
				ICT must be trained in, and use, ICT as defined by the model.
(2) Providers who wish to provide ICT must
				undergo and pass the following provided by an entity approved by the
				department:
(a) a readiness assessment;
				and
(b) an annual fidelity
				review.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.13 - Home and Community-Based Services for Youth With Serious Emotional Disturbance › Rule 37.87.1353 - INTEGRATED CO-OCCURRING TREATMENT (ICT), REIMBURSEMENT AND AUTHORIZATION

Current through Register Vol. 13, July 5, 2024
(1) A prior
				authorization (PA) request must be submitted to the Children's Mental Health
				Bureau no earlier than ten business days prior to the first date of the service
				for the youth. Requests received earlier than ten days prior to the admission
				of the youth, will be technically denied. If a request is received after the
				youth has been admitted, the request will be considered from the date the
				request was received by the department.
(2) The clinical reviewer will complete the
				PA review process within two business days of receipt of complete information
				and take one of the following actions:
(a)
				request additional information as needed to complete the review and the
				provider must submit the requested information within five business days of the
				request for additional information;
(b) authorize the PA for up to 180 days as
				medically necessary and generate notification to all appropriate parties if the
				request meets the medical necessity criteria; or
(c) defer the case to a board-certified
				psychiatrist for review and determination if the PA request does not appear to
				meet the medical necessity criteria.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1401 - HOME SUPPORT SERVICES AND THERAPEUTIC FOSTER CARE, SERVICES REIMBURSEMENT

Current through Register Vol. 13, July 5, 2024
(1) Reimbursement for the therapeutic portion
				of home support services (HSS) and therapeutic foster care (TFC) services is
				the lesser of:
(a) the amount specified in
				the department's fee schedule adopted in ARM
				37.85.105;
				or
(b) the provider's usual and
				customary charges.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1402 - HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), DEFINITIONS

Current through Register Vol. 13, July 5, 2024
(1) "Behavioral Aide" means for therapeutic
				foster care permanency, an unlicensed employee of the mental health center who
				works under the supervision of the licensed mental health professional. All
				behavioral aides must have, at a minimum, a high school diploma and at least
				two years of experience working with emotionally disturbed youth or providing
				direct services in a human services field. Aides may only provide services for
				which they have demonstrated competency and which are not limited to the scope
				and practice of the licensed mental health professional.
(2) "Caregiver" means a person responsible
				for the well-being of the youth on a day-to-day basis with written permission
				from the legal representative of the youth, when applicable.
(3) "Clinical lead" means a person who is an
				employee of the provider agency who is responsible for the supervision and
				overall provision of treatment services to youth in HSS and TFC. Effective
				January 31, 2014, the clinical lead must be a licensed mental health
				professional as defined in ARM
				37.87.102
				or an individual providing in-training mental health services as defined in ARM
				37.87.702.
(4) "Concurrent" means any time during the
				90-day period of the individualized treatment plan for HSS and TFC, unless the
				youth is discharged from service.
(5) "Home support services (HSS)" and
				"therapeutic foster care (TFC)" means medically necessary, intensive in-home
				services delivered by providers with specialized training and experience
				working with caregivers and youth in their homes, with temporary services
				available when a youth is homeless for less than 90 days.
(6) "Home support services specialist" means
				a person who is an employee of the provider agency who provides therapeutic
				interventions to youth who are receiving HSS and TFC. The home support services
				specialist (HSS-S) must have a bachelor's degree in a human services field, or
				a combination of experience and education equivalent to a bachelor's degree.
				For a HSS-S, six years of human services experience equates to a bachelor's
				degree and each year of post-secondary education in human services equates to
				one year experience.
AUTH:
					 53-2-201,
					 53-6-113,
					 MCA; IMP:
					 53-2-201,
					 53-6-101,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1404 - HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), INDIVIDUALIZED TREATMENT PLAN

Current through Register Vol. 13, July 5, 2024
(1) The
				individualized treatment plan (ITP) must be developed in accordance with ARM
				37.106.1916.
(2) The caregiver may select the members of
				the ITP team.
(3) Providers must
				inform the youth and their caregiver that Medicaid requires coordination of HSS
				and TFC with comprehensive school and community treatment (CSCT) planning, when
				applicable.
53-2-201,
					 53-6-113,
					 MCA; IMP,
					 53-2-201,
					 53-6-101,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1405 - HOME SUPPORT SERVICES(HSS) AND THERAPEUTIC FOSTER CARE (TFC), ASSESSMENTS

Current through Register Vol. 13, July 5, 2024
(1) A clinical assessment consistent with ARM
				37.106.1915
				must be completed for each youth documenting the youth has a serious emotional
				disturbance as defined in ARM
				37.87.102.
AUTH:
					 53-2-201,
					 53-6-113,
					 MCA; IMP:
					 53-2-201,
					 53-6-101,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1407 - HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), PROVISIONS OF SERVICE

Current through Register Vol. 13, July 5, 2024
(1) The main focus
				of the service is to address the mental health needs and strengthen the
				structure and support for youth and the caregivers. HSS and TFC serve the youth
				and the caregivers in their home and community environment through
				understanding the needs of the youth and the dynamics of the caregivers. HSS
				and TFC requires a structured, consistent, strength based therapeutic
				relationship between the provider and the youth and the caregiver for the
				purpose of treating the behavioral health needs of the youth, including
				improving the caregiver's ability to provide effective support for the youth
				and to promote healthy functioning.
(2) The following must be available and
				provided as clinically indicated by a mental health professional:
(a) conduct a treatment team meeting with the
				caregiver to develop an individualized treatment plan in accordance with ARM
				37.106.1916(5);
(b) write treatment summaries at a minimum of
				every month describing progress and changes in the strengths and needs of the
				youth and the caregiver to inform service provisions; and
(c) develop a crisis plan with the caregiver
				that identifies a range of potential crisis situations with a range of
				corresponding responses including direct (face-to-face) and telephonic
				responses 24/7.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1408 - HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), DISCHARGE PLANNING AND DOCUMENTATION

Current through Register Vol. 13, July 5, 2024
(1) The youth
				may be discharged from this level of care based upon at least one the following
				criteria:
(a) the caregiver no longer needs
				this level of support or is actively using other formal and informal support
				networks;
(b) the treatment plan
				for the youth indicates the goals and objectives for the services have been
				substantially met;
(c) the
				caregiver is not engaged in the services. The lack of engagement is of such a
				degree that this type of support becomes ineffective or unsafe, despite
				documented attempts to address the engagement issues;
(d) the caregiver withdraws consent for the
				treatment;
(e) the youth is placed
				in a residential treatment setting with no plan for return to the home setting;
				or
(f) the youth has moved to an
				independent living situation and is no longer in or returning to the family
				setting.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1410 - THERAPEUTIC FOSTER CARE (TFC), PROVIDER REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) The TFC provider must be a mental health
				center as described in ARM Title 37, chapter 106, subchapter 19.
(2) The provider must also be a child-placing
				agency.
(3) A full-time clinical
				lead is responsible for not more than five full-time family support specialists
				(FSS).
(4) The clinical lead must:
(a) provide direction and consultation to the
				FSS to address the clinical needs of the youth and the needs of the caregiver
				as identified in the youth's individualized treatment plan (ITP);
(b) respond to the youth's and the
				caregiver's needs when the FSS is not available;
(c) orient, train, and coach the FSS;
				and
(d) provide one-on-one
				supervision at least monthly to the FSS.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1411 - THERAPEUTIC FOSTER CARE PERMANENCY SERVICES, AUTHORIZATION REQUIREMENTS AND COVERED SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 MCA; IMP,
					 53-2-201,
					 53-6-101,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.14 - Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency › Rule 37.87.1413 - THERAPEUTIC FOSTER CARE PERMANENCY SERVICES, PROVIDER PARTICIPATION

Current through Register Vol. 13, July 5, 2024
(1) Therapeutic foster care permanency
				(TFOC-P) services must be provided in accordance with ARM
				37.87.1401 through
				37.87.1408 (HSS/TFC).
(2) TFOC-P must be provided by a child
				placement agency in accordance with ARM Title 37, chapter 93.
(3) TFOC-P is an intensive level of treatment
				for youth in a therapeutic foster family placement which is permanent and
				includes:
(a) individual, family, and group
				therapies;
(b) clinical supervision
				provided by a licensed psychologist on a 1:20 ratio;
(c) a treatment manager who is a masters or
				bachelors level social worker with three years' experience, on a 1:6
				ratio;
(d) behavioral aide services
				averaging at least ten hours per week;
(e) respite care at least one weekend per
				month; and
(f) additional
				specialized training for families.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.15 - Mental Health Services Plan Member Eligibility › Rule 37.87.1503 - MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, ELIGIBILITY (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-21-703,
					 MCA; IMP,
					 53-1-601,
					 53-1-602,
					 53-1-603,
					 53-2-201,
					 53-21-201,
					 53-21-202,
					 53-21-701,
					 53-21-702,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.15 - Mental Health Services Plan Member Eligibility › Rule 37.87.1513 - MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, LIMITATIONS (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-21-703,
					 MCA; IMP,
					 53-1-601,
					 53-1-602,
					 53-1-603,
					 53-2-201,
					 53-21-201,
					 53-21-202,
					 53-21-701,
					 53-21-702,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.16 - Alternatives to Out-of-State Placement › Rule 37.87.1601 - ALTERNATIVES TO OUT-OF-STATE PLACEMENT, PURPOSE

Current through Register Vol. 13, July 5, 2024
(1) The purpose of ARM 37.87.601 through
				37.86.1606 is to specify provider participation and program requirements to
				define the basis and procedure available for placement of high-risk children to
				in-state services as an alternative to out-of-state placement.
52-2-308,
					 MCA; IMP,
					 52-2-310,
					 52-2-311,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.16 - Alternatives to Out-of-State Placement › Rule 37.87.1602 - ALTERNATIVES TO OUT-OF-STATE PLACEMENT, DEFINITIONS

Current through Register Vol. 13, July 5, 2024
(1) "At risk" means high-needs youth who have
				proven challenging for typical in-state placements, and are at risk for
				out-of-state placement or returning from out-of-state placement.
(2) "Qualified provider pool" means all
				in-state Medicaid providers who meet the requirements established in ARM
				37.87.1604 and who are granted
				access to the department-approved data management system.
52-2-308,
					 MCA; IMP,
					 52-2-310,
					 52-2-311,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.16 - Alternatives to Out-of-State Placement › Rule 37.87.1604 - ALTERNATIVES TO OUT-OF-STATE PLACEMENT, PROVIDER REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) Services funded through the program may
				only be provided by or through a provider that:
(a) is enrolled with the department as a
				Montana Medicaid provider;
(b)
				meets all the requirements necessary for the receipt of Medicaid
				monies;
(c) has been determined by
				the department to be qualified to provide services to youth with serious
				emotional disturbance in accordance with the criteria set forth in these rules
				and must be:
(i) a licensed mental health
				center;
(ii) a therapeutic group
				home;
(iii) a psychiatric
				residential treatment facility; or
(iv) a 1915(i) home and community-based state
				plan provider.
(d) is a
				legal entity; and
(e) meets all
				facility and other licensing requirements applicable to the services covered,
				the service settings provided, and the professionals employed.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.16 - Alternatives to Out-of-State Placement › Rule 37.87.1606 - ALTERNATIVES TO OUT-OT-STATE PLACEMENT, PROVIDER PARTICIPATION AND PROCEDURES

Current through Register Vol. 13, July 5, 2024
(1) Qualified
				providers and acute care hospitals may request access to the system for an
				alternative to out-of-state placement by supplying an OM300 form which can be
				obtained by contacting the Department of Public Health and Human Services,
				Developmental Services Division, Children's Mental Health Bureau, 111 N.
				Sanders, P.O. Box 4210, Helena, MT 59604-4210.
(2) Department-approved acute care hospitals
				and the department may place treatment plans on the department-approved data
				management system for review by qualified providers.
(3) Upon approval for access and according to
				the requirements of this subchapter a qualified provider may review the
				treatment plans on the department-approved data management system. The
				qualified provider must follow all applicable department rules, policies, and
				procedures when proposing a plan of care for providing services in-state for
				at-risk youth.
(4) All services
				that require prior authorization must be prior authorized in accordance with
				ARM 37.87.903.
52-2-308,
					 MCA; IMP,
					 52-2-310,
					 52-2-311,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.17 - Mental Health Services Plan Covered Services › Rule 37.87.1703 - MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, COVERED SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-21-703,
					 MCA; IMP,
					 53-1-601,
					 53-1-602,
					 53-1-603,
					 53-2-201,
					 53-21-201,
					 53-21-202,
					 53-21-701,
					 53-21-702,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.87 - CHILDREN'S MENTAL HEALTH SERVICES › Subchapter 37.87.17 - Mental Health Services Plan Covered Services › Rule 37.87.1723 - MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PROVIDER PARTICIPATION (REPEALED)

Current through Register Vol. 13, July 5, 2024
53-2-201,
					 53-6-113,
					 53-21-703,
					 MCA; IMP,
					 53-1-601,
					 53-1-602,
					 53-1-603,
					 53-2-201,
					 53-21-201,
					 53-21-202,
					 53-21-701,
					 53-21-702,
					 MCA;