- (1) "Per diem" means financial assistance with expenses for a Medicaid recipient's meals and lodging enroute to and from, and while receiving medically necessary medical care.
- (2) "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.
(3) "Transportation service" means travel furnished by common carrier or private vehicle.
- (a) Transportation service does not include ambulance services or specialized nonemergency medical transportation services for persons with disabilities.
- (b) 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 (3).
Authorizing statute(s): 53-6-113, MCA
Implementing statute(s): 53-6-101, 53-6-141, MCA
History: NEW, 1980 MAR p. 1190, Eff. 4/11/80; AMD, 1981 MAR p. 1976, Eff. 1/1/82; AMD, 1987 MAR p. 907, Eff. 7/1/87; AMD, 1995 MAR p. 1218, Eff. 7/1/95; TRANS, from SRS, 2000 MAR p. 481; AMD, 2001 MAR p. 1183, Eff. 7/6/01; AMD, 2003 MAR p. 1200, Eff. 6/13/03; AMD, 2012 MAR p. 2278, Eff. 11/9/12.