- (1) To qualify for Pediatric Complex Care Assistant (PCCA) services, an individual must be a Medicaid member under 21 years of age.
- (2) PCCA services must be provided in accordance with the requirements of 37-2-603, MCA. The services are limited to those provided for under the statute and in ARM 24.160.501.
- (3) PCCA services must not replace Private Duty Nursing Services or supplant other services the member is receiving, but a member may receive PCCA services, Personal Care Assistant services, and/or Private Duty Nursing services under a person-centered care plan.
- (4) PCCA services may only be provided by licensed pediatric complex care assistants employed by a Medicaid-enrolled PCCA provider agency and selected by the member or their authorized representative.
Authorizing statute(s): 53-6-101, 53-6-113, MCA
Implementing statute(s): 53-6-101, 53-6-113, MCA
History: NEW, 2025 MAR, Notice No. 2025-53, Eff. 9/27/25.