ARM 37.40.1430. HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: CASE MANAGEMENT, REQUIREMENTS

(1) Case management is the planning for, arranging for, implementation of and monitoring of the delivery of services available through the program to a recipient. (2) Case management services includes: (a) developing a plan of care for a recipient; (b) monitoring and managing a plan of care for a recipient; (c) establishing relationships and contracting with service providers and community resources; (d) maximizing a recipient's efficient use of services and community resources such as family members, church members and friends; (e) facilitating interaction among people working with a recipient; (f) prior authorizing the provision of all services; and (g) managing expenditures. (3) The case management team consists of a registered nurse and a social worker. (4) The case management team must: (a) function as directed by the department; (b) assure that services provided to recipients are of appropriate quality and cost effective; (c) provide case management services to no more than the number of persons specified by the department; (d) manage expenditures within the allocated monies; and (e) meet the department's reporting requirements.