37.27.702    MONTANA CHEMICAL DEPENDENCY CENTER: DEFINITIONS

(1) "Level of care" means the following for the purpose of this rule:

(a) level IV - inpatient (hospital) care as defined in ARM 37.27.102(13); requirements are found in ARM 37.27.129.

(b) level III - inpatient (free standing) care as defined in ARM 37.27.302(13); requirements are found in 37.27.130.

(c) level II - day treatment and/or intensive outpatient treatment as defined in ARM 37.27.102(8) and (15); requirements are found in ARM 37.27.137 and 37.27.138.

(d) level I - outpatient treatment as defined in ARM 37.27.102(18); requirements are found in ARM 37.27.136.

(2) "Level III justification packet" means the materials to be sent to MCDC by the certified counselor (as defined in ARM 20.3.401 through 20.3.416) to justify the admission which include the following required items:

(a) results of assessment as defined in ARM 37.27.130;

(b) copy of the biopsychosocial assessment as defined in ARM 37.27.102(4), completed by a certified counselor;

(c) level III patient placement justification as defined in ARM 37.27.130;

(d) identification of overriding considerations as defined in ARM 37.27.120(1)(j)(vii) if appropriate;

(e) confirmation that appropriate services are not available locally; and

(f) current discharge summary as defined in ARM 37.27.136(5)(j), if recently discharged from another level of care.

(3) "Supporting documentation" means any documentation of the history of medical or psychiatric concerns which substantiates the need for level II care and/or negates the need for level IV care.

(4) "Qualifying placement" means justification at level III in at least two of the six dimensions, as defined in ARM 37.27.120(1)(j)(i) through (vii) or one dimension with a consideration which overrides the patient placement match.

(5) "MCDC utilization review committee" means a team with clinical, medical and administrative representation, which determines the appropriateness of admission level III treatment based on the documentation submitted by the certified chemical dependency counselor.

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History: 53-24-209, MCA; IMP, 53-24-301, MCA; NEW, 1996 MAR p. 2596, Eff. 10/4/96; TRANS, from DOC, 1998 MAR p. 1502.