(1) Specialized medical equipment and supplies is the provision of items of medical equipment and supplies to a member for the purpose of maintaining and improving the member's ability to reside at home and to function in the community.

(2) Specialized medical equipment and supplies must:

(a) be functionally necessary and relate specifically to the member's disability;

(b) substantively meet the member's needs for accessibility, independence, health, or safety;

(c) be likely to improve the member's functional ability or the ability of a caregiver or service provider to maintain the member in the member's home; and

(d) be the most cost-effective item that can meet the needs of the member.

(3) Specialized medical equipment and supplies services do not include:

(a) items used for leisure and recreational purposes only;

(b) items of clothing;

(c) basic household furniture; or

(d) educational items including computers, software, and books unless such items are purchased in conjunction with an environmental control unit.

(4) A service animal is an animal trained to undertake particular tasks on behalf of a member that the member cannot perform and that are necessary to meet the member's needs for accessibility, independence, health, or safety.

(5) A service animal does not include any of the following:

(a) pets, companion animals, and social therapy animals;

(b) guard dogs, rescue dogs, sled dogs, tracking dogs, or any other animal not specifically designated as a service animal; or

(c) wild, exotic, or any other animals not specifically supplied by a training program on the approved provider list.

(6) Supplies necessary for the performance of a service animal to meet the specific needs of the member are allowable expenses. Supplies do not include food to maintain the service animals.

(7) Care necessary to the health and maintenance of a service animal include veterinarian care, transportation for veterinarian care, license, registration, and where the member or member's primary care giver is unable to perform it, grooming.

(8) Certain items of medical equipment or supplies for short term use, as specified by the department, may be leased or rented instead of purchased.

(9) The department may require a consultation prior to the purchase of certain equipment and supplies.


History: 53-2-201, 53-6-402, MCA; IMP, 53-6-402, MCA; NEW, 2006 MAR p. 2665, Eff. 10/27/06; AMD, 2020 MAR p. 1173, Eff. 7/1/20.