ARM 37.85.106. MEDICAID BEHAVIORAL HEALTH TARGETED CASE MANAGEMENT FEE SCHEDULE

(1) The Montana Medicaid Program establishes provider reimbursement rates for medically necessary, covered services based on the estimated demand for services and the legislative appropriation and federal matching funds. (2) The Department of Public Health and Human Services (department) adopts and incorporates by reference the Medicaid Behavioral Health Targeted Case Management Fee Schedule effective October 1, 2025, for the following programs within the Behavioral Health and Developmental Disabilities Division: (a) Targeted Case Management Services (TCM) for Youth with Serious Emotional Disturbance (SED), as provided in ARM 37.87.901; (b) TCM for Substance Use Disorders (SUD), as provided in ARM 37.27.905; (c) TCM for Adults with Severe Disabling Mental Illness (SDMI), as provided in ARM 37.86.3515; (d) TCM for Adults with Serious Mental Illness or SUD, exiting state-operated secure facilities, as provided in ARM 37.90.501; and (e) TCM for post-adjudicated youth offenders exiting state-operated secure facilities, up to age 21 or former foster care, up to age 26, and as provided in ARM 37.90.501. (3) Copies of the department's current fee schedules are posted at https://medicaidprovider.mt.gov.