Rule 37.40.702 - HOME HEALTH SERVICES, REQUIREMENTS(1) These requirements are in addition to those rule provisions generally applicable to medicaid providers.(2) A home health agency must be: (a) licensed by the Montana department of public health and human services;(b) medicare certified; and(c) an enrolled medicaid provider.(3) Home health services may be provided by providers located outside of the borders of the state of Montana only if the service meets the requirements of ARM 37.85.207(3) and the service is prior authorized by the department or the department's designee.(4) Home health services must be provided in accordance with the requirements of 42 CFR 440.70. The department adopts and incorporates by reference 42 CFR 440.70, as amended May 8, 2020, which sets forth requirements for home health services. A copy of the regulation may be obtained from the Department of Public Health and Human Services, Senior and Long Term Care Division, 1100 N. Last Chance Gulch, P.O. Box 4210, Helena, MT 59604-4210 or by visiting https://www.ecfr.gov/.(5) Home health services are limited to 180 visits within 365 days from the day of the first authorized visit. (a) The department may, within its discretion, authorize additional visits in excess of this limit. Any services exceeding this limit must be prior authorized by the department or the department's designee.(6) Home health aide services are subject to the following limitations: (a) Home health aide services must be prior authorized by the department or the department's designee.(b) Home health aide services must be provided under the supervision of a registered professional nurse and in accordance with a written plan of treatment certified by a physician.(c) A person receiving personal care attendant services or Community First Choice services may not receive home health aide services.Mont. Admin. r. 37.40.702
NEW, 1980 MAR p. 1761, Eff. 6/27/80; AMD, 1986 MAR p. 2017, Eff. 1/1/87; AMD, 1989 MAR p. 1285, Eff. 9/1/89; AMD, 1995 MAR p. 1182, Eff. 7/1/95; AMD, 1997 MAR p. 1042, Eff. 6/24/97; TRANS, from SRS, 2000 MAR p. 489; AMD,2019 MAR p. 141, Eff.1/26/2019; AMD, 2024 MAR p. 2066, Eff. 8/24/2024AUTH: 53-6-113, MCA; IMP: 53-6-101, 53-6-131, MCA