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Rule: 37.86.2921 Prev     Up     Next    
Rule Title: HOSPITAL RESIDENCY REQUIREMENTS
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Department: PUBLIC HEALTH AND HUMAN SERVICES
Chapter: MEDICAID PRIMARY CARE SERVICES
Subchapter: Inpatient Hospital Services
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.86.2921    HOSPITAL RESIDENCY REQUIREMENTS

(1) To obtain hospital residency status, the client must meet the following requirements:

(a) a client who is unable to be cared for in a setting other than the acute care hospital is eligible for hospital residency status;

(b) the client must utilize a ventilator for a continuous period of not less than eight hours in a 24-hour period or require at least ten hours of direct nursing care in a 24-hour period; and

(c) the client must have been an inpatient in the same hospital as the requesting hospital for a minimum of six continuous months.

(2) The provider will have the responsibility of determining whether services could be provided in a skilled nursing care facility or by the Home and Community-Based Waiver Program to a Medicaid client within the state of Montana.

(3) The provider shall maintain written records of inquiries and responses about the present and future availability of openings in nursing homes and the Home and Community-Based Waiver Program.

(4) A redetermination of nursing home or waiver availability must be made at least every six months.

 

History: 2-4-201, 53-2-201, 53-6-113, MCA; IMP, 2-4-201, 53-2-201, 53-6-101, 53-6-111, 53-6-113, 53-6-149, MCA; NEW, 2004 MAR p. 482, Eff. 2/27/04; AMD, 2010 MAR p. 1534, Eff. 7/1/10.


 

 
MAR Notices Effective From Effective To History Notes
37-506 7/1/2010 Current History: 2-4-201, 53-2-201, 53-6-113, MCA; IMP, 2-4-201, 53-2-201, 53-6-101, 53-6-111, 53-6-113, 53-6-149, MCA; NEW, 2004 MAR p. 482, Eff. 2/27/04; AMD, 2010 MAR p. 1534, Eff. 7/1/10.
2/27/2004 7/1/2010 History: 2-4-201, 53-2-201, 53-6-113, MCA; IMP, 2-4-201, 53-2-201, 53-6-101, 53-6-111, 53-6-113, 53-6-149, MCA; NEW, 2004 MAR p. 482, Eff. 2/27/04.
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