Mont. Admin. r. 37.34.1924 - CONCURRENT SERVICES

(1) The following Montana Medicaid Children's Mental Health Bureau (CMHB) services may be provided concurrently with ABA services if ABA services are provided and billed outside the authorized treatment hours of the other programs, and if providers demonstrate and document attempts made for coordination with community-based services:

(a) partial hospital services (PHP);

(b) day treatment (Day TX);

(c) comprehensive school and community treatment (CSCT);

(d) therapeutic group home (TGH);

(e) home support services (HSS);

(f) therapeutic foster care (TFC);

(g) extraordinary needs aide (ENA); and/or

(h) targeted case management (TCM) for youth with SED.

(2) The following Montana Medicaid CMHB services may not be provided concurrently with ABA services, as they are considered duplicative:

(a) community-based psychiatric rehabilitation and support services (CBPRS);

(b) psychiatric residential treatment facility (PRTF);

(c) acute inpatient hospital services; and/or

(d) intensive outpatient services (IOP).

Notes

Mont. Admin. r. 37.34.1924

NEW, 2022 MAR p. 1850, Eff. 9/24/2022

AUTH: 53-2-201, 53-6-113, 53-21-703, MCA; IMP: 53-1-601, 53-1-602, 53-2-201, 53-6-101, 53-21-701, 53-21-702, MCA