53-21-1405. Rulemaking authority. The department may adopt rules establishing:

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Terms Used In Montana Code 53-21-1405

  • Crisis: means a serious, unexpected situation resulting from an individual's apparent mental illness in which the individual's symptoms are of sufficient severity, as determined by a mental health practitioner, to require immediate care to avoid:

    (a)jeopardy to the life or health of the individual; or

    (b)death or bodily harm to the individual or to others. See Montana Code 53-21-1401

  • Crisis stabilization: means development and implementation of a short-term intervention to respond to a crisis in order to:

    (a)reduce the severity of an individual's symptoms of mental illness; and

    (b)attempt to prevent the individual from receiving services in a more restrictive environment. See Montana Code 53-21-1401

  • Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-21-102
  • Presumptive eligibility: means a period of up to 72 hours after an individual is found to be in crisis and during which the individual is presumed to be eligible for crisis stabilization services that will be reimbursed by the department. See Montana Code 53-21-1401
  • services: means the services allowed under 53-21-1403. See Montana Code 53-21-1401

(1)limits on the scope and duration of crisis stabilization services, except for reimbursement for two psychiatric diagnostic interviews during the presumptive eligibility period;

(2)requirements for participating providers and their enrollment in the program;

(3)the scope of services that may be reimbursed because they involve coordination or management of care;

(4)the elements of the required plan for crisis stabilization;

(5)procedures for submitting claims for reimbursement for services provided during the presumptive eligibility period;

(6)procedures for the department’s review and audit of claims and for recovery of overpayments;

(7)recordkeeping and confidentiality requirements; and

(8)any other requirements needed to carry out the purpose of this part.