Mont. Admin. r. 37.34.937

Current through Register Vol. 23, December 6, 2024

Rule 37.34.937 - 0208 MEDICAID HOME AND COMMUNITY-BASED SERVICES PROGRAM: COMMUNITY TRANSITION SERVICES

(1) Community transition services are nonrecurring set-up expenses for a person who is transitioning from an institution to a Developmental Disabilities Program (DDP) waiver-funded home and community-based residential service.

(2) The community transition service must be necessary to enable a person to establish a basic household.

(3) Community transition services are furnished only to the extent that:

(a) they are reasonable and necessary;

(b) clearly identified in the service plan;

(c) the waiver recipient is unable to meet such an expense; and

(d) the services cannot be obtained from other sources.

(4) Community transition services may include:

(a) security deposits required to obtain a lease on an apartment or home;

(b) essential household furnishings and moving expenses required to occupy and use a community domicile, including furniture, window coverings, food preparation items, and bath and bed linens;

(c) set-up fees or deposits for utility or services access, including land line telephone, electricity, heating, and water;

(d) services necessary for the individual's health and safety, such as pest eradication and one-time cleaning prior to occupancy;

(e) moving expenses;

(f) necessary home accessibility adaptations; or

(g) activities to assess, arrange for, and procure needed resources as identified in the plan of care.

(5) Community transition services may not include:

(a) monthly rental or mortgage expense;

(b) food;

(c) regular utility charges;

(d) household appliances;

(e) items that are intended for purely recreational purposes;

(f) cellular telephone service; or

(g) internet service.

(6) Community transition service is not available to a person transitioning into residential settings that are owned or leased by a Developmental Disabilities Program (DDP) funded service provider.

(7) The residential setting must be owned, leased, or rented by the person and must be considered the person's private residence.

(8) Community transition services may not exceed $3,000 per person per transition.

Mont. Admin. r. 37.34.937

NEW, 1992 MAR p. 1490, Eff. 7/17/92; AMD, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124; AMD, 2014 MAR p. 220, Eff. 1/31/14; AMD, 2024 MAR p. 2067, Eff. 8/24/2024

AUTH: 53-6-113, 53-6-402, MCA; IMP: 53-6-101, 53-6-402, MCA