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This is an obsolete version of the rule. Please click on the rule number to view the current version.

37.87.2233    MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) RESPITE CARE SERVICES, PROVIDER REIMBURSEMENT

(1) Respite care services are non-Medicaid funded services except for youth with SED enrolled in the Psychiatric Residential Treatment Facility Waiver in accordance with ARM 37.87.1303 through 37.87.1343.

(2) Providers' claims for respite care services provided to youth with SED must be submitted to the department's Medicaid Management Information System (MMIS) contractor according to requirements set forth in ARM 37.85.406. Payments will be made to the provider through the department's MMIS contractor.

(3) Reimbursement for respite care services is as provided in Medicaid Mental Health and Mental Health Services Plan, Individuals Under 18 Years of Age Fee Schedule, as adopted in ARM 37.86.2207.

(4) Providers of respite care services must accept the amounts payable under this rule as payment in full for the respite care services provided to youth with SED.

History: 53-2-201, 53-6-101, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, MCA; NEW, 2009 MAR p. 272, Eff. 2/27/09.

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