Montana Administrative Code

37.34.1933 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: RESPITE, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.

37.34.1935 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: ENVIRONMENTAL MODIFICATION, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/2…

37.34.1936 PROVIDER REIMBURSEMENT The department will pay providers of ABA services the lesser of: the provider's actual submitted charge for services; or the rate established in the department's Medicaid fee schedule, as adopted in ARM 37.85.106. Claims must be submitted by, or …

37.34.1937 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: ENVIRONMENTAL MODIFICATION, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9…

37.34.1939 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: ADAPTIVE EQUIPMENT, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.…

37.34.1941 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: ADAPTIVE EQUIPMENT, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.…

37.34.1942 HEARING RIGHTS Providers who are aggrieved by an adverse department action under these rules may request a hearing to the extent provided, and according to the procedures specified, in ARM 37.85.411. Authorizing statute(s): 2-4-201, 53-6-113, 53-21-703, MCA Implementin…

37.34.1943 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: OCCUPATIONAL THERAPY, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.…

37.34.1945 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: OCCUPATIONAL THERAPY, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22…

37.34.1947 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: PHYSICAL THERAPY, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.

37.34.1949 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: PHYSICAL THERAPY, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.…

37.34.1951 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: SPEECH THERAPY, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.

37.34.1953 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: SPEECH THERAPY, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.

37.34.1955 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: TRANSPORTATION, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.

37.34.1957 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: TRANSPORTATION, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. 9/24/22.

37.34.1959 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: INDIVIDUAL GOODS AND SERVICES, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. …

37.34.1961 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: INDIVIDUAL GOODS AND SERVICES, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff…

37.34.1963 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: PROGRAM DESIGN AND MONITORING, DEFINITION (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff. …

37.34.1965 MEDICAID AND COMMUNITY SERVICES CHILDREN'S AUTISM PROGRAM 0667: PROGRAM DESIGN AND MONITORING, REQUIREMENTS (REPEALED) Authorizing statute(s): 53-6-402, MCA Implementing statute(s): 53-6-402, MCA History: NEW, 2012 MAR p. 2085, Eff. 10/12/12; REP, 2022 MAR p. 1850, Eff…

37.34.2001 DISCONTINUATION OF SERVICES: PURPOSE These rules provide a process by which a contracted provider of state-funded developmental disabilities home and community-based services may seek to discontinue the delivery of services to a person who is in receipt of services fro…

37.34.2003 DISCONTINUATION BY PROVIDER OF SERVICE DELIVERY: PROVIDER INITIATED When a person receiving developmental disability community services from a service provider refuses to cooperate in service delivery as provided for in their plan of care or otherwise fails to substant…

37.34.2005 DISCONTINUATION OF SERVICES: PART C Each contractor providing Part C services must have a written policy covering discontinuation of Part C or FES services. Prior to providing Part C or FES services to a family, the contractor will have each family read the discontinua…

37.34.2007 DISCONTINUATION OF SERVICES: FAIR HEARING REQUIREMENTS A person who is aggrieved of a change in services resulting from a discontinuation of services process under these rules is entitled to a fair hearing as provided for at ARM 37.5.115. Authorizing statute(s): 53-6-4…

37.34.201 ELIGIBILITY: GENERAL ELIGIBILITY REQUIREMENTS A person, in order to be considered for placement into a developmental disabilities services program funded through the Developmental Disabilities Program (DDP) of the department, must be determined by the department in acco…

37.34.202 ELIGIBILITY: EVALUATION (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2014 MAR p. 219, Eff. 1/31/14.

37.34.206 ELIGIBILITY: STATE FUNDED FAMILY EDUCATION AND SUPPORT SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2011 MAR p. 1158, E…

37.34.207 ELIGIBILITY: FEDERALLY FUNDED PART H FAMILY EDUCATION AND SUPPORT SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2014 MAR…

37.34.208 ELIGIBILITY: FEDERALLY FUNDED INTENSIVE FAMILY EDUCATION AND SUPPORT SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2014 …

37.34.2101 STAFFING: APPLICABILITY This subchapter specifies requirements applicable to provision of developmental disability program services. These rules are in addition to requirements generally applicable to Medicaid providers as otherwise provided in state and federal statut…

37.34.2102 STAFFING: STAFF COMPETENCIES The contractor must have, for each staff position, a written position description that specifies the physical requirements and the minimum standards for education and experience. The contractor must conduct a screening and a background chec…

37.34.2106 STAFFING: STAFF COMPETENCIES FOR FAMILY EDUCATION AND SUPPORT SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-205, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2013 MAR p. 1847, Eff.…

37.34.2107 STAFFING: STAFF COMPETENCIES FOR COMMUNITY HOME, INTENSIVE COMMUNITY HOME, SUPPORTED LIVING, WORK OR DAY SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-205, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 19…

37.34.211 ELIGIBILITY: CHILDREN'S COMMUNITY HOME SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2014 MAR p. 219, Eff. 1/31/14.

37.34.2111 STAFFING: CONTRACTOR STAFFING FOR SERVICES For each person served, the contractor must provide the number of staff with appropriate training and guidance required to ensure the quality and effectiveness of services to be delivered in accordance with the person's plan o…

37.34.2112 STAFFING: CONTRACTOR STAFFING FOR SUPPORTED LIVING SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-205, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2013 MAR p. 1847, Eff. 10/18/13.…

37.34.212 ELIGIBILITY: CHILDREN'S SUMMER DAY SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2014 MAR p. 219, Eff. 1/31/14.

37.34.215 ELIGIBILITY: STATE FUNDED ADULT SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2011 MAR p. 1158, Eff. 6/24/11.

37.34.216 ELIGIBILITY: STATE FUNDED ADULT INTENSIVE SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2011 MAR p. 1158, Eff. 6/24/11.…

37.34.217 ELIGIBILITY: FEDERALLY FUNDED INTENSIVE ADULT SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2014 MAR p. 219, Eff. 1/31/1…

37.34.221 ELIGIBILITY: STATE FUNDED SENIOR SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2011 MAR p. 1158, Eff. 6/24/11.

37.34.222 ELIGIBILITY: FEDERALLY FUNDED SENIOR SERVICES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; REP, 2014 MAR p. 219, Eff. 1/31/14.

37.34.224 DEVELOPMENTAL DISABILITIES COMMUNITY SERVICES ADULT FINANCIAL ELIGIBILITY On July 1, 2011, funding will terminate for all persons 19 years of age or older who were receiving developmental disability community services as of February 28, 2011 and funded by a combination …

37.34.225 DEVELOPMENTAL DISABILITIES COMMUNITY SERVICES ELIGIBILITY: TERMINATION OF ELIGIBILITY FOR A PROGRAM (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-205, 53-20-209, MCA History: NEW, 2012 MAR p. 900, Eff. 6/24/11; REP, 2014 MAR…

37.34.226 ELIGIBILITY: APPEAL PROCEDURES (REPEALED) Authorizing statute(s): 53-20-204, MCA Implementing statute(s): 53-20-203, 53-20-209, MCA History: NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; AMD, 2000 MAR p. 1653, Eff. 6/30/00; REP, 2014 MAR p. 219…

37.34.2301 RESIDENTIAL FACILITY SCREENING: PURPOSE The commitment of a person to the Montana Development Center as a person with a serious developmental disability in need of the services of that residential facility or commitment under a community treatment plan is subject to st…

37.34.2302 RESIDENTIAL FACILITY SCREENING: DEFINITIONS (REPEALED) Authorizing statute(s): 53-20-133, MCA Implementing statute(s): 53-20-102, 53-20-106, 53-20-112, 53-20-116, 53-20-121, 53-20-125, 53-20-127, 53-20-128, 53-20-129, 53-20-133, MCA History: NEW, 1991 MAR p. 1849, Eff.…

37.34.2306 RESIDENTIAL FACILITY SCREENING: ADMINISTRATION AND COMPOSITION OF SCREENING TEAM (REPEALED) Authorizing statute(s): 53-20-133, MCA Implementing statute(s): 53-20-133, MCA History: NEW, 1991 MAR p. 1849, Eff. 10/1/91; AMD, 1996 MAR p. 2188, Eff. 8/9/96; TRANS, from SRS,…

37.34.2307 RESIDENTIAL FACILITY SCREENING: RESPONSIBILITIES OF DEVELOPMENTAL DISABILITIES PROFESSIONALS AND QMRP'S (REPEALED) Authorizing statute(s): 53-20-133, MCA Implementing statute(s): 53-20-112, 53-20-116, 53-20-128, 53-20-129, 53-20-133, MCA History: NEW, 1991 MAR p. 1849,…

37.34.2308 RESIDENTIAL FACILITY SCREENING: RESPONSIBILITIES OF THE SCREENING TEAM (REPEALED) Authorizing statute(s): 53-20-133, MCA Implementing statute(s): 53-20-125, 53-20-127, 53-20-128, 53-20-129, 53-20-133, MCA History: NEW, 1991 MAR p. 1849, Eff. 10/1/91; AMD, 1996 MAR p. 2…

37.34.2309 RESIDENTIAL FACILITY SCREENING: DETERMINATION OF SCREENING TEAM (REPEALED) Authorizing statute(s): 53-20-133, MCA Implementing statute(s): 53-20-125, 53-20-127, 53-20-128, 53-20-129, 53-20-133, MCA History: NEW, 1991 MAR p. 1849, Eff. 10/1/91; AMD, 1996 MAR p. 2188, Ef…