Mont. Admin. R. 37.83.811 - QUALIFIED MEDICARE BENEFICIARIES, COVERAGE OF DEDUCTIBLES AND COINSURANCE FOR MEDICARE SERVICES ALSO COVERED BY FULL MEDICAID
(1) For a qualified medicare beneficiary,
medicaid will participate in the deductibles and coinsurance for the following
medicare services also covered by medicaid:
(a) inpatient hospital services;
(b) outpatient hospital services;
(c) home health services;
(d) skilled nursing home care;
(e) hospice care;
(f) outpatient physical therapy
services;
(g) outpatient speech
therapy services;
(h) outpatient
occupational therapy services;
(i)
prosthetic devices, durable medical equipment and medical supplies;
(j) physician services, including laboratory
and x-ray services; and
(k) dental
services which are oral surgery services.
(2) Medicaid requirements governing the
services in (1) are found in Title 37, chapters 40, 82 and 86 of the
Administrative Rules of Montana (ARM). Medicare requirements prevail when
medicare requirements as to the availability and delivery of services differ
from those for medicaid.
Notes
Sec. 53-2-201 and 53-6-113, MCA; IMP, Sec. 53-6-101 and 53-6-131, MCA;
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