CHAPTER 6. HEALTH CARE SERVICES
- Part 1. Medical Assistance -- Medicaid
- 53-6-101. Montana medicaid program -- authorization of services.
- 53-6-102. Repealed.
- 53-6-103. Repealed.
- 53-6-104. Freedom of doctors to treat recipients of medical assistance -- freedom to select doctor.
- 53-6-105. Discrimination prohibited.
- 53-6-106. Health care facility standards -- definitions.
- 53-6-107. Sanctions -- penalties.
- 53-6-108. Rules governing sanctions or remedies.
- 53-6-109. Consistent regulation of long-term care facilities -- rulemaking authority -- timeframes.
- 53-6-110. Report and recommendations on medicaid funding.
- 53-6-111. Department charged with administration and supervision of medical assistance program -- overpayment recovery -- sanctions for fraudulent and abusive activities -- adoption of rules.
- 53-6-112. Department to print and distribute copies of part and certain forms.
- 53-6-113. Department to adopt rules.
- 53-6-114. Rules of department binding.
- 53-6-115. Contracts with other agencies.
- 53-6-116. Medicaid managed care -- capitated health care.
- 53-6-117. Participation requirements.
- 53-6-118. through reserved.
- 53-6-121. Local administration of medical assistance.
- 53-6-122. and reserved.
- 53-6-124. Definitions.
- 53-6-125. Physician services reimbursement.
- 53-6-126. Providing conversion factors to department.
- 53-6-127. Rulemaking -- policy adjusters.
- 53-6-128. through reserved.
- 53-6-131. Eligibility requirements.
- 53-6-132. Application for assistance -- exception.
- 53-6-133. Eligibility determination.
- 53-6-134. Extension of eligibility for medical assistance to persons terminated from section 1931 medicaid program.
- 53-6-135. through reserved.
- 53-6-139. Terminated.
- 53-6-140. Account not to be treated as asset for purposes of eligibility.
- 53-6-141. Repealed.
- 53-6-142. Periodic review of assistance.
- 53-6-143. Medical assistance liens and recoveries.
- 53-6-144. Relative's responsibility.
- 53-6-145. Agencies to adopt rules governing personal assistant services.
- 53-6-146. Protection of tribal and Indian health service facilities from cost-shifting -- seeking to leverage federal financial participation for state children's health insurance program and medi
- 53-6-147. and reserved.
- 53-6-149. State special revenue fund account -- administration.
- 53-6-150. Donated funds.
- 53-6-151. Medicaid reserve account.
- 53-6-152. through reserved.
- 53-6-155. Definitions.
- 53-6-156. Medicaid fraud control unit.
- 53-6-157. Powers and duties of medicaid fraud control unit.
- 53-6-158. Cooperation of governmental agencies with medicaid fraud control unit.
- 53-6-159. Permitted disclosure of information obtained in medicaid fraud control unit investigations.
- 53-6-160. Truthfulness, completeness, and accuracy of submissions to medicaid agencies.
- 53-6-161. Terminated.
- 53-6-162. Terminated.
- 53-6-163. Terminated.
- 53-6-164. Terminated.
- 53-6-165. Definitions.
- 53-6-166. Period of ineligibility for medical assistance when assets disposed of for less than fair market value -- undue hardship exception -- department to adopt rules.
- 53-6-167. Recovery of medicaid benefits after recipient's death.
- 53-6-168. Payment of certain funds of deceased recipient to department.
- 53-6-169. Payment of excess burial funds or assets to department.
- 53-6-170. Terminated.
- 53-6-171. Department lien upon real property of certain medicaid recipients -- conditions.
- 53-6-172. Notice of intent to impose lien -- opportunity for hearing.
- 53-6-173. Contents of lien document -- scope of obligation secured.
- 53-6-174. Filing of lien -- effect of filing -- priority -- renewal -- dissolution of lien.
- 53-6-175. Recovery of medical assistance secured by lien -- application for issuance of writ of execution.
- 53-6-176. Notice of application -- proof of notice -- request for issuance of writ of execution.
- 53-6-177. Action to challenge issuance of writ of execution.
- 53-6-178. Department right of recovery -- limitations.
- 53-6-179. Payment of amount due -- periodic payments -- substitute security.
- 53-6-180. Waiver of recovery in cases of undue hardship -- rulemaking.
- 53-6-181. Delay in recovery -- sale subject to lien.
- 53-6-182. Spouse's limited exemption from lien.
- 53-6-183. Issuance of writ of execution by clerk of court.
- 53-6-184. Effect of sale -- title acquired.
- 53-6-185. Disposition of sale proceeds -- application of recovered medical assistance.
- 53-6-186. Action by department or other person to preserve property subject to lien -- recovery of costs.
- 53-6-187. Time for filing of application.
- 53-6-188. Coordination of lien with other medical assistance recoveries.
- 53-6-189. Rulemaking authority.
- 53-6-190. through reserved.
- 53-6-195. Medicaid program for workers with disabilities -- purpose -- eligibility -- participant costs.
- Part 10. Prescription Drug Plus Discount Program
- 53-6-1001. Definitions.
- 53-6-1002. Prescription drug plus discount program -- rules.
- 53-6-1003. Eligibility -- income determination.
- 53-6-1004. State pharmacy access program.
- 53-6-1005. Department administration -- pharmacy access.
- 53-6-1006. Prescription drug consumer information and technical assistance program -- education outreach for consumers and professionals.
- 53-6-1007. through reserved.
- 53-6-1010. Specifications for administration of program.
- 53-6-1011. Appeals.
- 53-6-1012. Obligations of department.
- 53-6-1013. Contracting.
- 53-6-1014. through reserved.
- 53-6-1020. Contingency on expenditure.
- Part 11. Prevention and Stabilization Account
- Part 12. Health and Medicaid Initiatives Account
- Part 2. Renal Disease Treatment Program (Renumbered)
- Part 3. Montana State Hospital (Renumbered and Repealed)
- Part 4. Home and Community-Based Long-Term Care Medicaid Services
- Part 5. Traumatic Brain Injury -- Services
- Part 6. Long-Term Care Reform
- Part 7. Medicaid Managed Care
- 53-6-701. Policy of medicaid managed care -- system for integrated health care services.
- 53-6-702. Definitions.
- 53-6-703. Managed care community network.
- 53-6-704. Different benefit packages.
- 53-6-705. Requirements for managed health care entities.
- 53-6-706. Requirements relating to enrollees.
- 53-6-707. Payment reductions and adjustments -- freedom to contract.
- 53-6-708. Waiver.
- 53-6-709. Legislative auditor -- oversight.
- Part 8. Long-Term Care Insurance Partnerships
- Part 9. Medicaid Medical Savings Account Pilot Project (Terminated)