§ 53-1-401 Definitions
§ 53-1-402 Residents and financially responsible persons liable for cost of care
§ 53-1-403 Rules
§ 53-1-404 Department to review and establish per diem charge
§ 53-1-405 Monthly payment amount
§ 53-1-406 Investigation of ability to pay
§ 53-1-407 Appeal of determination of ability to pay
§ 53-1-408 Periodic review by department of ability to pay
§ 53-1-409 Limitations on liability of resident or financially responsible person for cost of care
§ 53-1-410 Nonpayment not grounds for discharge
§ 53-1-411 Collections from residents and financially responsible persons
§ 53-1-412 Collections from estates
§ 53-1-413 Deposit of payments and collections
§ 53-1-414 Automatic assignment of resident’s resources from third party

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Terms Used In Montana Code > Title 53 > Chapter 1 > Part 4 - Per Diem Payments for Institutional Care

  • Affirmed: In the practice of the appellate courts, the decree or order is declared valid and will stand as rendered in the lower court.
  • All-inclusive rate: means a fixed charge that is computed on a daily basis or on the basis of another time period for inpatients, that is computed on a per visit basis for outpatients, and that is applicable uniformly to each patient without regard to the extent of the services required by the patient and without regard to a distinction between physician services and hospital services. See Montana Code 53-1-401
  • Ancillary charge: means the expense of providing identifiable, direct, resident services, including but not limited to:

    (a)physicians' services;

    (b)x-ray and laboratory services;

    (c)dental services;

    (d)speech-language pathology and audiology services;

    (e)occupational and physical therapy;

    (f)medical supplies;

    (g)prescribed drugs; and

    (h)specialized medical equipment. See Montana Code 53-1-401

  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Care: means the care, treatment, support, maintenance, and other services rendered by the department to a resident. See Montana Code 53-1-401
  • Contract: A legal written agreement that becomes binding when signed.
  • Cost of care: means the applicable all-inclusive rate charges or per diem charges and ancillary charges for a resident's care that are determined as provided in this part. See Montana Code 53-1-401
  • Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-1-401
  • Dependent: A person dependent for support upon another.
  • Financially responsible person: means a spouse of a resident, the natural or adoptive parents of a resident under 18 years of age, or a guardian or conservator to the extent of the guardian's or conservator's responsibility for the financial affairs of the person who is a resident under applicable Montana law establishing the duties and limitations of guardianships or conservatorships. See Montana Code 53-1-401
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Full-time equivalent resident load: means the total daily resident count for the fiscal year divided by the number of days in the year. See Montana Code 53-1-401
  • Gross daily budgeted cost: means the total cost of operating a facility as budgeted through the legislative appropriation process less the budgeted amount of federal grant revenue for the institution for a fiscal year. See Montana Code 53-1-401
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Long-term resident: means a resident in an institution listed in 53-1-402 for a continuous period in excess of 120 days. See Montana Code 53-1-401
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Per diem charge: means the gross daily budgeted cost of operating an institution or an individual unit of an institution (including but not limited to contracted medical services, depreciation, and associated department costs but excluding the cost of educational programs, ancillary charges, and costs not directly identified with patient care) divided by the full-time equivalent resident load for the previous state fiscal year. See Montana Code 53-1-401
  • Person: includes a corporation or other entity as well as a natural person. See Montana Code 1-1-201
  • Probate: Proving a will
  • Process: means a writ or summons issued in the course of judicial proceedings. See Montana Code 1-1-202
  • Property: means real and personal property. See Montana Code 1-1-205
  • Resident: means any person who is receiving care from or who is a resident of an institution listed in 53-1-402. See Montana Code 53-1-401
  • Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Montana Code 1-1-201
  • Third party: means any third-party individual or entity that is or may be liable to pay all or part of the charges for a resident's cost of care, including but not limited to applicable medicare, medicaid, and personal insurance or other similar health care benefits. See Montana Code 53-1-401
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • United States: includes the District of Columbia and the territories. See Montana Code 1-1-201