37.89.523 72-HOUR PRESUMPTIVE ELIGIBILITY FOR ADULT CRISIS STABILIZATION SERVICES: REIMBURSEMENT FOR SERVICES
(1) The department adopts and incorporates by reference the Medicaid 72-Hour Presumptive Eligibility Crisis Stabilization Services fee schedule dated August 2011. A copy of the department's fee schedule is posted at the Montana Medicaid provider web site at www.dphhs.mt.gov/amdd/services/index.shtml. A copy may be obtained from the Department of Public Health and Human Services, Addictive and Mental Disorders Division, PO Box 202905, Helena, MT 59620-2951. Reimbursement for services delivered under this subchapter will be the amounts listed in the fee schedule. The provider reimbursement rate for 72-Hour Presumptive Eligibility Crisis Stabilization Services is stated in the department's fee schedule as provided in ARM 37.85.104. These fees are calculated based on:
(a) the biennial legislative appropriation; and
(b) the estimated demand for covered services during the biennium.
(2) Reimbursement for services will be limited in accordance with the enrollment agreement between the department and the crisis stabilization provider up to the maximum allowable fee.
History: 53-6-101, 53-6-113, MCA; IMP, 53-6-101, MCA; NEW, 2008 MAR p. 1489, Eff. 4/11/08; AMD, 2011 MAR p. 1394, Eff. 7/29/11; AMD, 2013 MAR p. 1111, Eff. 7/1/13.