Mont. Admin. r. 37.34.941

Current through Register Vol. 23, December 6, 2024
Rule 37.34.941 - 0208 MEDICAID HOME AND COMMUNITY-BASED SERVICES PROGRAM: ENVIRONMENTAL MODIFICATIONS
(1) Environmental modifications are those physical adaptations to the home or vehicle required by the waiver recipient's plan of care, which are necessary to safeguard the health, welfare, and safety of the person, or which enable the person to function with greater independence and without which the person would require institutionalization.
(2) An environmental modification must:
(a) relate specifically to and be primarily for the waiver recipient;
(b) have utility primarily for the waiver recipient;
(c) not be an item or modification that a family would normally be expected to provide for a nondisabled family member;
(d) not be in the form of room and board or general maintenance;
(e) meet the specifications, if applicable, for the modification set by the American National Standards Institute (ANSI); and
(f) be prior authorized by the department.
(3) Environmental modifications may not include:
(a) adaptions to the home which are of general utility and are not of direct medical or remedial benefit to the waiver recipient, such as carpeting, roof repair, central air condition; or
(b) adaptations to the home which add to the total square footage of the home.

Mont. Admin. r. 37.34.941

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