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Rule: 37.27.902 Prev     Up     Next    
Rule Title: SUBSTANCE USE DISORDER SERVICES: AUTHORIZATION REQUIREMENTS
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Department: PUBLIC HEALTH AND HUMAN SERVICES
Chapter: CHEMICAL DEPENDENCY PROGRAMS
Subchapter: Chemical Dependency and Abuse Treatment Services
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.27.902    SUBSTANCE USE DISORDER SERVICES: AUTHORIZATION REQUIREMENTS

(1) The purpose of rules contained in this subchapter is to establish standards for the coverage and reimbursement of substance use disorder services under the Montana Medicaid Program.

(2) In addition to the requirements contained in rule, the department has developed and published the Behavioral Health and Developmental Disabilities (BHDD) Division Medicaid Services Provider Manual for Substance Use Disorder and Adult Mental Health, dated July 1, 2023, which it adopts and incorporates by reference. The purpose of the manual is to implement requirements for utilization management and services. A copy of the manual may be obtained from the department by a request in writing to the Department of Public Health and Human Services, Behavioral Health and Developmental Disabilities (BHDD) Division, 100 N. Park, Ste. 300, P.O. Box 202905, Helena, MT 59620-2905 or at: https://dphhs.mt.gov/bhdd/BHDDMedicaidServicesProviderManual.

(3) In addition to the requirements contained in rule, the department has developed and published the BHDD Division Non-Medicaid Services Provider Manual for Substance Use Disorder, dated July 1, 2023, which it adopts and incorporates by reference. The purpose of the manual is to implement requirements for utilization management and services. A copy of the manual may be obtained from the department by a request in writing to the Department of Public Health and Human Services, Behavioral Health and Developmental Disabilities (BHDD) Division, 100 N. Park, Ste. 300, P.O. Box 202905, Helena MT 59620-2905 or at: https://dphhs.mt.gov/bhdd/BHDDNonMedicaidServicesProviderManual.

 

History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19; AMD, 2020 MAR p. 1161, Eff. 7/1/20; AMD, 2020 MAR p. 1740, Eff. 10/1/20; AMD, 2021 MAR p. 331, Eff. 3/27/21; AMD, 2022 MAR p. 1889, Eff. 9/24/22; AMD, 2023 MAR p. 1890, Eff. 12/23/23; AMD, 2024 MAR p. 729, Eff. 4/13/24.


 

 
MAR Notices Effective From Effective To History Notes
37-1039 4/13/2024 Current History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19; AMD, 2020 MAR p. 1161, Eff. 7/1/20; AMD, 2020 MAR p. 1740, Eff. 10/1/20; AMD, 2021 MAR p. 331, Eff. 3/27/21; AMD, 2022 MAR p. 1889, Eff. 9/24/22; AMD, 2023 MAR p. 1890, Eff. 12/23/23; AMD, 2024 MAR p. 729, Eff. 4/13/24.
37-1033 12/23/2023 4/13/2024 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19; AMD, 2020 MAR p. 1161, Eff. 7/1/20; AMD, 2020 MAR p. 1740, Eff. 10/1/20; AMD, 2021 MAR p. 331, Eff. 3/27/21; AMD, 2022 MAR p. 1889, Eff. 9/24/22; AMD, 2023 MAR p. 1890, Eff. 12/23/23.
37-1010 9/24/2022 12/23/2023 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19; AMD, 2020 MAR p. 1161, Eff. 7/1/20; AMD, 2020 MAR p. 1740, Eff. 10/1/20; AMD, 2021 MAR p. 331, Eff. 3/27/21; AMD, 2022 MAR p. 1889, Eff. 9/24/22.
37-940 3/27/2021 9/24/2022 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19; AMD, 2020 MAR p. 1161, Eff. 7/1/20; AMD, 2020 MAR p. 1740, Eff. 10/1/20; AMD, 2021 MAR p. 331, Eff. 3/27/21.
37-925 10/1/2020 3/27/2021 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19; AMD, 2020 MAR p. 1161, Eff. 7/1/20; AMD, 2020 MAR p. 1740, Eff. 10/1/20.
37-917 7/1/2020 10/1/2020 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19; AMD, 2020 MAR p. 1161, Eff. 7/1/20.
37-888 10/1/2019 7/1/2020 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19; AMD, 2019 MAR p. 1640, Eff. 10/1/19.
37-878 7/6/2019 10/1/2019 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19; AMD, 2019 MAR p. 1061, Eff. 7/6/19.
37-869 1/1/2019 7/6/2019 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18; AMD, 2018 MAR p. 2409, Eff. 1/1/19.
37-835 5/1/2018 1/1/2019 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17; AMD, 2018 MAR p. 725, Eff. 5/1/18.
37-736 11/10/2017 5/1/2018 History: 53-6-113, 53-24-204, 53-24-208, 53-24-209, MCA; IMP, 53-6-101, 53-24-204, 53-24-208, 53-24-209, MCA; NEW, 2017 MAR p. 2081, Eff. 11/10/17.
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