37.40.1006    SELF-DIRECTED COMMUNITY FIRST CHOICE SERVICES: DESCRIPTION AND PURPOSE

(1) Self-directed Community First Choice Services (CFCS) are services provided to Medicaid members who choose to take the responsibility or have a representative take the responsibility of managing the CFCS. Self-directed CFCS allow the member to direct CFCS, including health maintenance tasks.

(2) Health maintenance tasks include the following:

(a) urinary systems management;

(b) bowel care;

(c) wound care; and

(d) medication management.

(3) Members must provide their physician or health care professional evidence of ability to manage their CFCS and health maintenance tasks.

(a) The scope and detail of the evidence will be determined by the physician or health care professional.

(4) Members who are unable to utilize self-directed CFCS may receive services through the agency-based CFCS program managed by provider agencies under agreement with Medicaid.

History: 53-2-201, MCA; IMP, 53-2-201, 53-6-113, MCA; NEW, 2014 MAR p. 3075, Eff. 12/25/14.