37.86.2234    EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT SERVICES (EPSDT) , SCHOOL-BASED SPECIALIZED TRANSPORTATION SERVICES

(1) Coverage of specialized transportation is limited to school-based transportation of clients with disabilities for the purpose of obtaining nonemergency medical services covered by the Medicaid program.

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(a) The client must be in need of specialized transportation due to the client either being wheelchair-bound or subject to transport by stretcher.

(2) Coverage of specialized transportation is not available if another mode of transportation is appropriate for the transport of the client and is less costly.

(3) Specialized transportation services must be listed in the Medicaid client's Individualized Education Plan (IEP) .

(4) Specialized transportation services may only be reimbursed by Medicaid if the Medicaid client receives a Medicaid covered service listed in his or her IEP on the day transportation is provided.

History: 53-6-113, MCA; IMP, 53-6-101, 53-6-111, MCA; NEW, 2004 MAR p. 83, Eff. 1/1/04.