MCA 53-6-402 — Medicaid-funded home and community-based services -- waivers -- funding limitations -- populations -- services -- providers -- long-term care preadmission screening -- powers and duties of department -- rulemaking authority

What this rule requires your agency to do

• 1The department shall adopt rules for provision of fraud prevention training required under 53-6-405, including elements that must be contained in fraud prevention education materials (53-6-402(15)).(MCA 53-6-402 — Medicaid-funded home and community-based services -- waivers -- funding limitations -- populations -- services -- providers -- long-term care preadmission screening -- powers and duties of department -- rulemaking authority)
• 2The department shall administer expenditures for each program within available state spending authority and establish covered services so resulting expenditures remain within available funding (53-6-402(6)(a)).(MCA 53-6-402 — Medicaid-funded home and community-based services -- waivers -- funding limitations -- populations -- services -- providers -- long-term care preadmission screening -- powers and duties of department -- rulemaking authority)
• 3The department shall adopt rules for implementation of each HCBS program, which may include provider requirements and reimbursement, eligibility criteria, and measures to ensure the appropriateness and quality of services (53-6-402(13)(a)(vii), (x)).(MCA 53-6-402 — Medicaid-funded home and community-based services -- waivers -- funding limitations -- populations -- services -- providers -- long-term care preadmission screening -- powers and duties of department -- rulemaking authority)
• 4The provision of services to a specific population through an HCBS program must be less costly in total Medicaid funding than serving that population through long-term care facility services (53-6-402(4)).(MCA 53-6-402 — Medicaid-funded home and community-based services -- waivers -- funding limitations -- populations -- services -- providers -- long-term care preadmission screening -- powers and duties of department -- rulemaking authority)