37.40.1430    HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: CASE MANAGEMENT, REQUIREMENTS

(1) Case management is the planning for, arranging for, implementation of and monitoring of the delivery of services available through the program to a consumer.

(2) Case management services includes:

(a) developing a service plan for a consumer;

(b) monitoring and managing a service plan for a consumer;

(c) establishing relationships with service providers and community resources;

(d) maximizing a consumer's efficient use of services and community resources such as family members, church members and friends;

(e) facilitating interaction among people working with a consumer;

(f) prior authorizing the provision of all services; and

(g) managing expenditures.

(3) The case management team consists of a registered nurse and a social worker.

(4) The case management team must:

(a) function as directed by the department;

(b) assure that services provided to consumers are of appropriate quality and cost effective;

(c) provide case management services to no more than the number of persons specified by the department;

(d) manage expenditures within the allocated monies; and

(e) meet the department's reporting requirements.

History: 53-2-201, 53-6-101, 53-6-113, 53-6-402, MCA; IMP, 53-2-201, 53-6-101, 53-6-402, MCA; NEW, 1983 MAR p. 863, Eff. 7/15/83; AMD, 1986 MAR p. 2094, Eff. 1/1/87; AMD, 1991 MAR p. 470, Eff. 12/14/90; TRANS & AMD, from SRS, 2000 MAR p. 2023, Eff. 7/28/00; AMD, 2011 MAR p. 1722, Eff. 8/26/11.