ARM 37.86.5002
ARM 37.86.5002. HEALTH MAINTENANCE ORGANIZATIONS: RECIPIENT ELIGIBILITY
Cite as Mont. Admin. R. 37.86.5002
(1) A recipient in any one of the following categories is eligible to enroll with an HMO contracting with the department:
(a) a FAIM or family-related recipient required by ARM 37.86.5103 to participate in a primary care case management program; or
(b) an SSI recipient or SSI-related recipient required by ARM 37.86.5103 to participate in a primary care case management program.
(2) A recipient who is ineligible to participate in a primary care case management program is not eligible to enroll with an HMO contracting with the department.