Admin. R. Mont. 37.86.2505 – Specialized Nonemergency Medical Transportation, Reimbursement

(1) The department pays the lower of the following for specialized nonemergency medical transportation services:
1. (a) the provider's usual and customary charge; or
2. (b) the department's fee schedule.
(2) The department adopts and incorporates by reference the department's fee schedule as provided in ARM 37.85.105(3) that sets forth the reimbursement rates for specialized nonemergency medical transportation services and other Medicaid services.

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, 1981 MAR p. 559, Eff. 6/12/81; AMD, 1981 MAR p. 1975, Eff. 1/1/82; AMD, 1982 MAR p. 1289, Eff. 7/1/82; AMD, 1989 MAR p. 2254, Eff. 12/22/89; AMD, 1990 MAR p. 1479, Eff. 7/27/90; 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. 1200, Eff. 6/13/03; AMD, 2003 MAR p. 1314, Eff. 7/1/03; 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, 2013 MAR p. 1111, Eff. 7/1/13.