Admin. R. Mont. 37.86.2405 – Transportation and per Diem, Reimbursement

(1) The department pays the lower of the following reimbursement rates for transportation services:
1. (a) the provider's actual submitted charge; or
2. (b) the department's Personal and Commercial Transportation Fee Schedule adopted in this rule.
(2) The department adopts and incorporates by reference the department's Montana Medicaid Fee Schedule, Personal and Commercial Transportation as provided in ARM 37.85.105(3) that sets forth the reimbursement rates for transportation, per diem, and other Medicaid services.
(3) No payment is available for personal vehicle mileage or per diem costs that total less than $5 in a calendar month.
(4) Reimbursement for transportation and per diem may not exceed the reimbursement as calculated and specified by the department in the prior authorization.
(5) Mileage for transportation in a personally owned vehicle is reimbursed at the rate provided in the department's personal and commercial transportation fee schedule.

Authorizing statute(s): 53-2-201, 53-6-113, MCA

Implementing statute(s): 53-6-101, 53-6-113, 53-6-141, MCA

History: NEW, 1980 MAR p. 1190, Eff. 4/11/80; AMD, 1980 MAR p. 1787, Eff. 6/27/80; AMD, 1981 MAR p. 559, Eff. 6/12/81; AMD, 1981 MAR p. 1976, Eff. 1/1/82; AMD, 1982 MAR p. 1289, Eff. 7/1/82; AMD, 1987 MAR p. 161, Eff. 2/14/87; AMD, 1987 MAR p. 907, Eff. 7/1/87; AMD, 1995 MAR p. 1218, Eff. 7/1/95; AMD, 1998 MAR p. 2168, Eff. 8/14/98; AMD, 1999 MAR p. 1379, Eff. 7/1/99; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 1664, Eff. 6/30/00; AMD, 2001 MAR p. 1183, Eff. 7/6/01; EMERG, AMD, 2002 MAR p. 2665, Eff. 9/27/02; AMD, 2003 MAR p. 999, Eff. 5/9/03; EMERG, AMD, 2003 MAR p. 1314, Eff. 7/1/03; AMD, 2006 MAR p. 1894, Eff. 7/28/06; AMD, 2007 MAR p. 1824, Eff. 11/9/07; AMD, 2008 MAR p. 1156, Eff. 7/1/08; AMD, 2009 MAR p. 145, Eff. 2/13/09; AMD, 2009 MAR p. 2029, Eff. 10/30/09; AMD, 2010 MAR p. 1533, Eff. 7/1/10; AMD, 2011 MAR p. 1384, Eff. 7/29/11; AMD, 2013 MAR p. 1111, Eff. 7/1/13.