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

37.86.2224    EARLY AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT SERVICE (EPSDT) , COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT

(1) Comprehensive school and community treatment (CSCT) means a comprehensive, planned course of outpatient treatment provided in the school and community to a child or adolescent with a serious emotional disturbance (SED) , as defined in ARM 37.86.3702(2) . A CSCT program may be operated by a licensed mental health center with a CSCT endorsement. The criteria for a mental health center's CSCT endorsement are found in ARM 37.106.1955.

(2) Comprehensive school and community treatment is not medically necessary when, in the determination of the department, the individual is receiving substantial mental health treatment outside the comprehensive school and community treatment program.

(3) Prior authorization pursuant to ARM 37.88.101 is required for outpatient therapy services that are provided to a child or adolescent concurrently with CSCT services.

History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, 53-6-113, MCA; EMERG, NEW, 2003 MAR p. 1087, Eff. 5/23/03; AMD, 2005 MAR p. 1787, Eff. 9/23/05.

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