Montana Administrative Register [electronic Resource] 2007 No 10
Montana Administrative Register [electronic Resource] 2007 No 10
Montana.Secretary of State
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Therefore, the department is proposing repeal of that requirement. The department considered and rejected the alternative of retaining the requirement that a youth receive services from more than one agency in order to be determined SED. The department is concerned that such a requirement could result in Medicaid disallowing payment for SED services for a youth who does not need intervention from another source yet needs mental health services. ARM 37.86.3705 The department is proposing amendme...nts to this rule governing TCM for SED youth that would make it consistent with the core functions that are currently billable under Medicaid. The functions defined by CMS are: assessment; case planning; coordination, referral, and advocacy; and monitoring and follow-up. "Assistance in daily living" is currently defined as a case management service, but is not a core function of targeted case management. Therefore, the department is proposing its deletion from this rule. Crisis planning is a part of case management, but is not a stand alone, billable activity.
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