Mont. Admin. R. 37.40.1013 - AGENCY-BASED AND SELF-DIRECTED COMMUNITY FIRST CHOICE SERVICES: PROVIDER ENROLLMENT
(1) Providers will
enroll as a Community First Choice Services (CFCS) personal care attendant
provider, a CFCS personal emergency response system (PERS) provider, or both.
Providers must enroll through the department's fiscal intermediary.
(2) CFCS providers must be businesses
incorporated under the laws of the state of Montana.
(3) CFCS providers must submit a description
of the proposed service area which must include, at a minimum, coverage of the
entire area of at least one county or Indian reservation.
(4) CFCS personal care attendant service
providers must comply with onsite visit requirements both before and after
enrollment to verify information submitted to the department.
(5) CFCS personal care attendant service
providers must provide the documentation to demonstrate the following:
(a) general liability insurance with a
minimum coverage of $1,000,000 per occurrence and $2,000,000
aggregate;
(b) motor vehicle
liability insurance with split limits of $500,000 per person for personal
injury, $1,000,000 per accident occurrence for personal injury, and $100,000
per accident occurrence for property damage; or, combined single limits of
$1,000,000 per occurrence to cover such claims as may be caused by any act,
omission, or negligence of the provider or its agents, officers,
representatives, assigns, or subcontractors;
(c) current unemployment insurance and
workers' compensation coverage; and
(d) verification of completion of the
department's mandatory CFCS training.
(6) CFCS attendant-based providers will
select to deliver either agency-based or self-directed CFCS option. Once a
provider has completed a successful compliance review the provider may enroll
in the other service option.
(7)
The department may contract with out-of-state agencies to provide CFCS for
Montana Medicaid members temporarily living out of state.
Notes
53-2-201, MCA IMP: 53-2-201, 53-6-113, MCA;
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.