BEFORE THE DEPARTMENT OF PUBLIC

HEALTH AND HUMAN SERVICES OF THE

STATE OF MONTANA

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In the matter of the amendment of ARM 37.40.307, 37.40.330, and 37.40.361 pertaining to Medicaid Nursing Facility Reimbursement

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NOTICE OF AMENDMENT

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TO: All Interested Persons

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1. On June 21, 2007, the Department of Public Health and Human Services published MAR Notice No. 37-408 pertaining to the public hearing on the proposed amendment of the above-stated rules, at page 826 of the 2007 Montana Administrative Register, issue number 12.

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2. The department has amended ARM 37.40.307, 37.40.330, and 37.40.361 as proposed.

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3. The department has thoroughly considered all commentary received. The comments received and the department's response to each follow:

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COMMENT #1: A commentor supported the proposed rule notice which implemented the increases appropriated by the 2007 Legislature, including the increases designated for direct care workers.

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RESPONSE: The department thanks the commentor for the support.

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/s/ Russell Cater������������������������������������������������ /s/ John Chappuis for

Rule Reviewer��������������������������������������������������� Director, Public Health and

���������������������������������������������������������������������������� Human Services

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Certified to the Secretary of State July 30, 2007.