Mont. Admin. r. 37.87.705 - MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, NONCOVERED SERVICES
(1) Mental
health professional services, provided in a hospital on an inpatient basis,
that are covered by Medicaid as part of the diagnosis related group (DRG)
payment under ARM
37.86.2907 are not reimbursable as
mental health center services. These noncovered services include:
(a) mental health professional services
provided by mental health professionals who are staff members of a mental
health center which has a contract with a hospital involving
consideration;
(b) services
provided for purposes of discharge planning as required by 42 CFR part 482.43;
and
(c) services including but not
limited to group therapy that are required as a part of hospital licensure or
certification.
Notes
53-2-201, 53-6-101, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, MCA;
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