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| Montana Administrative Register Notice 37-544 | No. 10 05/26/2011 | |
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BEFORE THE DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES OF THE STATE OF
TO: All Concerned Persons 1. On June 15, 2011, at 3:00 p.m., the Department of Public Health and Human Services will hold a public hearing in Room 207 of the Department of Public Health and 2. The Department of Public Health and Human Services will make reasonable accommodations for persons with disabilities who wish to participate in this rulemaking process or need an alternative accessible format of this notice. If you require an accommodation, contact Department of Public Health and Human Services no later than 5:00 p.m. on June 6, 2011, to advise us of the nature of the accommodation that you need. Please contact Kenneth Mordan, Department of Public Health and Human Services, Office of Legal Affairs, 3. The rules as proposed to be amended provide as follows, new matter underlined, deleted matter interlined: 37.86.3607 CASE MANAGEMENT SERVICES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES, REIMBURSEMENT (1) Reimbursement for the delivery by provider entities of Medicaid funded targeted case management services (2) The department adopts and incorporates by this reference Section One, Rates of Reimbursement for the Provision of Developmental Disabilities Case Management Services for Persons with Developmental Disabilities 16 Years of Age or Older and for Children with Developmental Disabilities Residing in a Children's Community Home, in effect AUTH: 56-6-113, MCA IMP: 53-6-101, MCA 4. STATEMENT OF REASONABLE NECESSITY The Developmental Disabilities Program (DDP) of the Department of Public Health and Human Services (the department) is proposing the amendment of ARM 37.86.3607. This rule establishes the rates of reimbursement for the delivery by qualified provider entities of Medicaid funded targeted case management services. The rates of reimbursement for Medicaid funded targeted case management services for persons with developmental disabilities are established in "Section One" of the Developmental Disabilities Program's "Developmental Disabilities Program Manual of Service Reimbursement Rates and Procedures". Section One, currently titled "Rates of Reimbursement for the Provision of Developmental Disabilities Case Management for Persons 16 Years of Age or Older", is effectuated in rule by incorporation by reference in ARM 37.86.3607. This proposed rule amendment for ARM 37.86.3607 is for the purpose of incorporating by reference a yet-to-be-published new edition of Section One. The department is proposing to modify Section One of the Developmental Disabilities Program Manual to establish new case management rates. The manual specifies the requirements for those services and specifies billable units for those services. The proposed changes to the developmental disabilities targeted case management reimbursement rates are necessary as part of the effort to align Developmental Disabilities Program expenditures with the appropriated budget for the program for the 2012/2013 state biennium. 5. Concerned persons may submit their data, views, or arguments either orally or in writing at the hearing. Written data, views, or arguments may also be submitted to: Kenneth Mordan, Department of Public Health and Human Services, Office of Legal Affairs, P.O. Box 4210, Helena, Montana, 59604-4210; fax (406) 444-9744; or e-mail [email protected], and must be received no later than 5:00 p.m., June 23, 2011. 6. The Office of Legal Affairs, Department of Public Health and Human Services, has been designated to preside over and conduct this hearing. 7. The department maintains a list of interested persons who wish to receive notices of rulemaking actions proposed by this agency. Persons who wish to have their name added to the list shall make a written request that includes the name, e-mail, and mailing address of the person to receive notices and specifies for which program the person wishes to receive notices. Notices will be sent by e-mail unless a mailing preference is noted in the request. Such written request may be mailed or delivered to the contact person in 5 above or may be made by completing a request form at any rules hearing held by the department. 8. An electronic copy of this proposal notice is available through the Secretary of State's web site at http://sos.mt.gov/ARM/Register. The Secretary of State strives to make the electronic copy of the notice conform to the official version of the notice, as printed in the Montana Administrative Register, but advises all concerned persons that in the event of a discrepancy between the official printed text of the notice and the electronic version of the notice, only the official printed text will be considered. In addition, although the Secretary of State works to keep its web site accessible at all times, concerned persons should be aware that the web site may be unavailable during some periods, due to system maintenance or technical problems. 9. The bill sponsor contact requirements of 2-4-302, MCA, do not apply.
/s/ Rule Reviewer Anna Whiting Sorrell, Director Public Health and Human Services Certified to the Secretary of State May 16, 2011
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