Current through Register Vol. 23, December 6, 2024
Rule 37.86.2501 - SPECIALIZED NONEMERGENCY MEDICAL TRANSPORTATION, DEFINITIONS(1) Specialized nonemergency transportation means transportation service by a provider with a class B public service commission license allowing the provider to transport physically disabled individuals. (a) A motor carrier operated by the Indian Health Service or by a federally recognized Indian Tribe which meets all applicable standards for a class B public service commission license need not obtain such a license to be enrolled as a Medicaid provider under (1).(2) "Wheelchair bound" means individuals cannot mobilize without a wheelchair and are not able to get into or out of the wheelchair without assistance.(3) "Prior authorization" means the department or its designee's review and approval of the medical necessity and coverage of a service prior to delivery of the service.Mont. Admin. r. 37.86.2501
NEW, 1980 MAR p. 1190, Eff. 4/11/80; AMD, 1989 MAR p. 2254, Eff. 12/22/89; TRANS, from SRS, 2000 MAR p. 481; AMD, 2003 MAR p. 1200, Eff. 6/13/03; AMD, 2012 MAR p. 2278, Eff. 11/9/12.53-6-113, MCA; IMP, 53-6-101, 53-6-141, MCA;