37.79.304 : SERVICES COVERED - Administrative Rules of the State of Montana

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	Rule: 37.79.304	Prev Up Next
	Rule Title: SERVICES COVERED

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Department:	PUBLIC HEALTH AND HUMAN SERVICES
Chapter:	HEALTHY MONTANA KIDS (HMK)
Subchapter:	Benefits

Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.79.304 SERVICES COVERED

(1) The department adopts and incorporates by reference the HMK Evidence of Coverage dated January 1, 2023, which is available on the department's web site at www.hmk.mt.gov.

(2) The HMK Evidence of Coverage describes the health care benefits available to an HMK coverage group enrollee if the service is medically necessary. Prior authorization may be required and copayments may apply.

History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14; AMD, 2015 MAR p. 762, Eff. 7/1/15; AMD, 2015 MAR p. 2292, Eff. 1/1/16; AMD, 2017 MAR p. 2286, Eff. 10/14/17; AMD, 2018 MAR p. 1609, Eff. 8/11/18; AMD, 2023 MAR p. 178, Eff. 2/25/23.

MAR Notices	Effective From	Effective To	History Notes
37-970	2/25/2023	Current	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14; AMD, 2015 MAR p. 762, Eff. 7/1/15; AMD, 2015 MAR p. 2292, Eff. 1/1/16; AMD, 2017 MAR p. 2286, Eff. 10/14/17; AMD, 2018 MAR p. 1609, Eff. 8/11/18; AMD, 2023 MAR p. 178, Eff. 2/25/23.
37-844	8/11/2018	2/25/2023	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14; AMD, 2015 MAR p. 762, Eff. 7/1/15; AMD, 2015 MAR p. 2292, Eff. 1/1/16; AMD, 2017 MAR p. 2286, Eff. 10/14/17; AMD, 2018 MAR p. 1609, Eff. 8/11/18.
37-743	10/14/2017	8/11/2018	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14; AMD, 2015 MAR p. 762, Eff. 7/1/15; AMD, 2015 MAR p. 2292, Eff. 1/1/16; AMD, 2017 MAR p. 2286, Eff. 10/14/17.
37-729	1/1/2016	10/14/2017	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14; AMD, 2015 MAR p. 762, Eff. 7/1/15; AMD, 2015 MAR p. 2292, Eff. 1/1/16.
37-708	7/1/2015	1/1/2016	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14; AMD, 2015 MAR p. 762, Eff. 7/1/15.
37-672	7/1/2014	7/1/2015	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13; AMD, 2014 MAR p. 1405, Eff. 7/1/14.
37-639	10/1/2013	7/1/2014	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13; AMD, 2013 MAR p. 1698, Eff. 10/1/13.
37-636	7/1/2013	10/1/2013	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13; AMD, 2013 MAR p. 1111, Eff. 7/1/13.
37-622	2/15/2013	7/1/2013	History: 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1005, 53-4-1109, MCA; NEW, 2013 MAR p. 214, Eff. 2/15/13.

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