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ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance

MontanaregulationMontana Department of Public Health and Human Services· effective 2014-12-25

What this rule requires your agency to do

  • 1Providers must maintain compliance across administrative areas including staff credentials/certification/training, charting principles, serious occurrence reports, member satisfaction surveys, required documentation, agency manuals/complaint process, workers' compensation/liability/automobile coverage, and service billing ((5)).(ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance)
  • 2Providers must maintain compliance across service-delivery areas including service authorization, health-care professional authorization, high-risk authorization, service plan/member choice, service delivery, program oversight, and health/welfare and serious occurrence reports ((4)).(ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance)
  • 3Failure to meet ninety percent compliance on the second review subjects the provider to department sanctions as provided in ARM 37.85.401 ((9)).(ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance)
  • 4The provider must supply documentation requested by the department within a reasonable time frame and no later than 30 days following the request ((2)).(ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance)
  • 5Providers must maintain compliance across person-centered-planning areas including facilitator certification, member and facilitator rights/responsibility documentation, person-centered plan/member choice, and risk assessment and mitigation ((6)).(ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance)
  • 6Self-directed PAS providers are subject to department compliance reviews to assure services are provided within program rules and policy ((1)).(ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance)
  • 7The provider must meet all standards in ninety percent of reviewed cases to be considered in compliance; failure triggers a second review ((8)).(ARM 37.40.1132 — Self-Directed Personal Assistance Services: Provider Compliance)

Applies to: personal care

Subjects self-directed PAS providers to department compliance reviews covering service-delivery, administrative, and person-centered-planning areas, and sets documentation-production timelines, sampling methodology, and a 90% pass threshold. Providers failing the standard face a second review and, if still noncompliant, department sanctions under ARM 37.85.401. Framework topic: Provider Compliance / Quality Oversight & Recordkeeping.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.