53-6-1304. (Temporary) Montana HELP Act program -- eligibility for coverage of health care services -- exceptions. (1) An individual is eligible for coverage of health care services provided pursuant to this part if the individual meets the requirements of 42 U.S.C. 1396a(a)(10)(A)(i)(VIII).
(2) The department may serve individuals who are eligible for medicaid-funded services pursuant to this part through the medical assistance program established in Title 53, chapter 6, part 1, if the individuals would be served more appropriately because the individuals:
(a) have exceptional health care needs, including but not limited to medical, mental health, or developmental conditions;
(b) live in a geographical area, including an Indian reservation, that would not be effectively or efficiently served through this part;
(c) need continuity of care that would not be available or cost-effective through this part;
(d) are exempt under the waiver implementing this part as of July 1, 2019; or
(e) are otherwise exempt under federal law. (Terminates June 30, 2025--secs. 38, 48, Ch. 415, L. 2019.)
History: En. Sec. 4, Ch. 368, L. 2015; amd. Sec. 32, Ch. 415, L. 2019.
Structure Montana Code Annotated
Title 53. Social Services and Institutions
Chapter 6. Health Care Services
Part 13. Montana Health and Economic Livelihood Partnership (HELP) Act
53-6-1302. Montana HELP Act program -- legislative findings and purpose
53-6-1306. Prohibition on copayments
53-6-1309. Community engagement -- reporting -- suspension -- audit
53-6-1310. Health risk analysis
53-6-1311. Medicaid program reforms
53-6-1312. Health care services payment schedules
53-6-1313. Reduction in federal medical assistance percentage
53-6-1314. Disenrollment for failure to report change in circumstances
53-6-1315. Montana HELP Act special revenue account
53-6-1318. Rulemaking authority