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37.87.2203    YOUTH SYSTEM OF CARE ACCOUNT, REQUIREMENT

(1) The department shall use funds from this account to reimburse in state or community based service providers that allow high risk youth with multi-agency service needs to be served in the least restrictive and most appropriate setting.

(2) The youth must be eligible for Medicaid.

(3) The youth must meet serious emotional disturbance (SED) criteria outlined in ARM 37.87.303.

(4) The youth must be at high risk for one of the following:

(a) needing more restrictive level of care;

(b) remaining in restrictive level of care if no other appropriate placement options are available;

(c) posing a safety risk to self or others; and

(d) having multiple treatment and/or placement failures.

(5) The services the youth receives:

(a) shall provide for the care and protection and mental, social, and physical development of the high risk youth with multi-agency service needs;

(b) must be specified in the youth's integrated treatment plan;

(c) cannot be eligible for reimbursement from another source;

(d) must be identified as part of a planning process;

(e) shall maintain the youth in a community setting or return the youth to a community setting as a priority; and

(f) shall be prior authorized by the department or its designee.

History: 53-2-201, 53-6-113, 53-21-703, MCA; IMP, 53-1-601, 53-1-602, 53-1-603, 53-2-201, 53-21-201, 53-21-202, 53-21-701, 53-21-702, MCA; NEW, 2008 MAR p. 1988, Eff. 9/12/08.

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