1. (1) The purpose of these rules is to implement 53-6-1312, MCA, which establishes the Medicaid schedule of rates as the reimbursement rates that the State of Montana (State) pays for health care services provided to an individual who does not qualify for Medicaid, Medicare, a health insurer, or another private or governmental program that pays for health care costs and is:

   1. (a) in the custody of the Department of Corrections; or
   2. (b) a resident, by commitment or otherwise, of the Montana State Hospital, the Montana Mental Health Nursing Care Center, the Montana Chemical Dependency Center, or the Montana Developmental Center.
2. (2) The State will process these health care claims through the Department of Public Health and Human Services' Medicaid claims processing agent.

Authorizing statute(s): 53-6-1318, MCA

Implementing statute(s): 53-6-1312, MCA

History: NEW, 2015 MAR p. 2313, Eff. 1/1/16.