Mont. Admin. R. 37.40.1007 - SELF-DIRECTED COMMUNITY FIRST CHOICE SERVICES: GENERAL REQUIREMENTS
(1) Self-directed
Community First Choice Services (CFCS) may only be delivered by an attendant
who is the employee of a Medicaid-enrolled provider and who is selected by the
member or their personal representative.
(2) Agency-based CFCS managed by provider
agencies under agreement with Medicaid are not available to members who are
participating in the self-directed CFCS program. The use of CFCS managed by
provider agencies may be permissible in the event that the member's backup plan
fails.
(3) Home health and home and
community-based waiver skilled nursing services are not available to members
for the completion of health maintenance activities which the member has been
authorized to manage. The use of home health and home and community-based
waiver skilled nursing services may be permissible in the event that the
member's backup plan fails. In this case the service must be prior
authorized.
(4) Members who have
been terminated from the self-directed program may apply for agency-based CFCS
through the Medicaid CFCS program managed by approved provider
agencies.
Notes
53-2-201, MCA IMP: 53-2-201, 53-6-113, MCA;
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