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Rule Title: CASE MANAGEMENT SERVICES FOR PERSONS AGE 16 AND OVER WITH DEVELOPMENTAL DISABILITIES, COVERAGE
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Department: PUBLIC HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Chapter: MEDICAID PRIMARY CARE SERVICES
Subchapter: Case Management Services for Persons Age 16 and Over with Developmental Disabilities
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.86.3605    CASE MANAGEMENT SERVICES FOR PERSONS AGE 16 AND OVER WITH DEVELOPMENTAL DISABILITIES, COVERAGE

(1) Reimbursable case management services for persons age 16 and over with developmental disabilities are:

(a) service coordination which includes the following:

(i) assessment and evaluation of the appropriateness and need for case management and other community services for which the client might be eligible;

(ii) assistance in accessing and obtaining needed services as requested by the client;

(iii) assisting the client's entry into services; and

(iv) monitoring and follow up services received by the client.

(b) planning which includes the following:

(i) development, facilitation, coordination, and monitoring of an individual plan (IP) for the client.

(c) crisis intervention which includes the following:

(i) crisis intervention for personal, financial, social, legal, or medical crisis; and

(ii) preventative problem solving with the client and where appropriate the client's family to prevent a crisis.

(d) quality of life which includes the following:

(i) building of personal relationship, communication, trust, and a basic understanding of the client as a unique human being by establishing a rapport with the client and the client's family and friends;

(ii) getting an understanding for how the client is doing or for how client wants to be doing; and

(iii) conducting a quality of life assessment for the client.

(2) Case management services for persons age 16 and over with developmental disabilities are available without geographic limitation.

History: Sec. 53-6-113, MCA; IMP, Sec. 53-6-101, MCA; NEW, 1991 MAR p. 1295, Eff. 7/26/91; AMD, 1994 MAR p. 3201, Eff. 12/23/94; AMD, 1997 MAR p. 496, Eff. 3/11/97; TRANS, from SRS, 2000 MAR p. 481.


 

 
MAR Notices Effective From Effective To History Notes
3/11/1997 Current History: Sec. 53-6-113, MCA; IMP, Sec. 53-6-101, MCA; NEW, 1991 MAR p. 1295, Eff. 7/26/91; AMD, 1994 MAR p. 3201, Eff. 12/23/94; AMD, 1997 MAR p. 496, Eff. 3/11/97; TRANS, from SRS, 2000 MAR p. 481.
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