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This is an obsolete version of the rule. Please click on the rule number to view the current version.

37.34.3012    REIMBURSEMENT FOR SERVICES: HOME AND COMMUNITY SERVICES FUNDED WITH NON-MEDICAID MONIES

(1) Reimbursement for the provision of services or items funded through home and community services funded with non-Medicaid monies is only available to a provider for services or items:

(a) delivered in accordance with the requirements and limitations of ARM 37.34.3001;

(b) specified as non-Medicaid program services; and

(c) authorized in accordance with ARM 37.34.3002 for reimbursement through the consumer's individual cost plan (ICP).

(2) The rates of reimbursement for the particular types of services and items funded through home and community services funded with non-Medicaid monies are the same as those authorized for the same types of services and items reimbursed in accordance with ARM 37.34.3005 through the 0208 Comprehensive Program of Home and Community Services and with ARM 37.34.3006 through the 0371 Community Supports Program of Home and Community Services.

(3) Developmental Disabilities Program (DDP) services or items funded with non-Medicaid monies are considered to be a payor of last resort.

History: 53-2-201, 53-20-204, MCA; IMP, 53-2-201, 53-20-203, 53-20-205, MCA; NEW, 2011 MAR p. 1718, Eff. 8/26/11.

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