37.86.2401    TRANSPORTATION AND PER DIEM, DEFINITIONS

(1) "Per diem" means financial assistance with expenses for a Medicaid recipient's meals and lodging enroute to and from, and while receiving medically necessary medical care.

(2) "Prior authorization" means the department or its designee's review and approval of the medical necessity and coverage of a service prior to delivery of the service.

(3) "Transportation service" means travel furnished by common carrier or private vehicle.

(a) Transportation service does not include ambulance services or specialized nonemergency medical transportation services for persons with disabilities.

(b) A motor carrier operated by the Indian Health Service or by a federally recognized Indian Tribe which meets all applicable standards for a class B public service commission license need not obtain such a license to be enrolled as a Medicaid provider under (3).

 

History: 53-6-113, MCA; IMP, 53-6-101, 53-6-141, MCA; NEW, 1980 MAR p. 1190, Eff. 4/11/80; AMD, 1981 MAR p. 1976, Eff. 1/1/82; AMD, 1987 MAR p. 907, Eff. 7/1/87; AMD, 1995 MAR p. 1218, Eff. 7/1/95; TRANS, from SRS, 2000 MAR p. 481; AMD, 2001 MAR p. 1183, Eff. 7/6/01; AMD, 2003 MAR p. 1200, Eff. 6/13/03; AMD, 2012 MAR p. 2278, Eff. 11/9/12.