BEFORE THE COMMISSIONER OF SECURITIES AND INSURANCE

MONTANA STATE AUDITOR

 

In the matter of the adoption of NEW RULE I and NEW RULE II, and the amendment of ARM 6.6.4902 and 6.6.4906 pertaining to Patient-Centered Medical Homes

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NOTICE OF ADOPTION AND AMENDMENT

 

TO: All Concerned Persons

 

1. On November 6, 2014, the Commissioner of Securities and Insurance, Montana State Auditor, published MAR Notice No. 6-212 pertaining to the public hearing on the proposed adoption and amendment of the above-stated rules at page 2702 of the 2014 Montana Administrative Register, Issue Number 21.

 

2. On December 2, 2014, a public hearing was held on the proposed adoption and amendment of the above-stated rules in Helena. Comments were received by the December 10, 2014, deadline.

 

3. The department has adopted New Rule II (6.6.4909) exactly as proposed. The department has adopted New Rule I (6.6.4908) exactly as proposed, but with the following changes from the original proposal, new matter underlined, deleted matter interlined:

 

            6.6.4908  STANDARDS FOR PAYMENT METHODS (1) through (3) remain as proposed.

            (4) A payor may not participate in the Montana patient-centered medical home program until the commissioner approves the payor as meeting the requirements of this rule. The commissioner shall approve, disapprove, or request additional information no later than 30 days after receipt of the letter of intent.

            (5) through (6)(f) remain as proposed.

 

            AUTH: 33-40-104, MCA

IMP: 33-40-104, 33-40-105, MCA

 

4. The department has amended ARM 6.6.4902 and 6.6.4906 exactly as proposed.

 

5. The department has thoroughly considered the comments and testimony received. A summary of the comments received and the department's responses are as follows:

 

COMMENT NO. 1: One commenter stated that the commissioner should add a measurable time period for the commissioner's approval of the payor letter of intent referenced in New Rule 1, Section 4. The commenter suggested 30 days.

 

RESPONSE NO. 1: The rule has been amended to add a time frame.   

 

 

/s/ Nick Mazanec                                          /s/Christina L. Goe                          

Nick Mazanec                                               Christina L. Goe

Rule Reviewer                                              General Counsel

           

Certified to the Secretary of State December 15, 2014.