This subchapter establishes Montana DPHHS standards for state approval of substance use disorder (SUD) programs receiving alcohol earmarked revenue funds, covering the full continuum of ASAM levels of care from early intervention through medically monitored inpatient and withdrawal management services. Operators must complete a designated application, submit to periodic department inspections (on-site or remote), and adhere to ASAM Criteria and the BHDD Medicaid/Non-Medicaid Provider Manuals. Requirements address individualized treatment planning, client rights, confidentiality, communicable disease control, abuse/neglect reporting, organization and management, record retention, and sanctions for noncompliance.
View official source37.27.101 STATE APPROVED PROGRAMS, PURPOSE (1) The purpose of the rules in this subchapter is to establish standards for the approval of programs providing prevention, treatment, rehabilitative, and recovery services to individuals with substance use disorders and substance related issues, as provided in Title 53, chapter 24, part 2, MCA. (2) Each public or private substance use disorder program providing services and receiving alcohol earmarked revenue funds under 53-24-108 , MCA, shall be subject to approval by the department. The department will issue approval for the following substance use disorder (SUD) levels of care and specialty services, outlined in the American Society of Addiction Medicine (ASAM) Criteria and Behavioral Health and Developmental Disabilities (BHDD) Division Medicaid Manual: (a) ASAM 3.7 Medically Monitored Intensive Inpatient Services; (b) ASAM 3.7-WM Medically Monitored Withdrawal Management Services; (c) ASAM 3.5 Clinically Managed High-Intensity (adult) and Medium Intensity (adolescent) Residential Services; (d) ASAM 3.3 Clinically Managed Population-Specific High Intensity (adult only) Residential Services; (e) ASAM 3.2-WM Clinically Managed Residential Withdrawal Management Services; (f) ASAM 3.1 Clinically Managed Low Intensity (adult or adolescent) Residential Services; (g) ASAM 2.5 Partial Hospitalization Services; (h) ASAM 2.1 Intensive Outpatient Services; (i) ASAM 1.0 Outpatient Services; (j) ASAM 0.5 Early Intervention; (k) SUD Prevention; (l) SUD Certified Behavioral Health Peer Support Services; and (m) SUD Targeted Case Management. Authorizing statute(s): 53-24-207 , MCA Implementing statute(s): 53-24-207 , MCA History: TRANS, Ch. 280, L. 1975, Eff. 1/2/77; AMD, 1981 MAR p. 1899, Eff. 1/1/82; AMD, 1983 MAR p. 1463, Eff. 10/14/83; TRANS, from DOC, 1998 MAR p. 1502; AMD, 2021 MAR p. 182, Eff. 2/13/21; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.102 DEFINITIONS In addition to the terms defined in 53-24-103 , MCA: (1) "American Society of Addiction Medicine (ASAM) Criteria" means guidelines for placement, continued stay, and transfer/discharge of individuals with addiction and co-occurring conditions developed by the American Society of Addiction Medicine. (2) "BHDD Medicaid Manual" means the Behavioral Health and Developmental Disabilities (BHDD) Division Medicaid Services Provider Manual for Substance Use Disorder and Adult Mental Health adopted and incorporated in ARM 37.27.902 . The manual can be found at: https://dphhs.mt.gov/amdd/AMDDMedicaidServicesProviderManual . (3) "BHDD Non-Medicaid Manual" means the Behavioral Health and Developmental Disabilities (BHDD) Division Non-Medicaid Services Provider Manual for Substance Use Disorder adopted and incorporated in ARM 37.27.902 . The manual can be found at: https://dphhs.mt.gov/amdd/AMDDNonMedicaidServicesProviderManual . (4) "Biopsychosocial assessment" means a comprehensive multidimensional assessment process that includes risk ratings, addresses immediate needs, and is organized in accordance with the six dimensions described in the ASAM Criteria and meets the requirements described in the BHDD Medicaid Manual. (5) "Continuing care plan" means a plan for when a client is discharged or transferred from a particular level of care as described in the BHDD Medicaid Manual. (6) "Facility" means a public or private organization as defined in 50-5-101 , MCA. Programs approved under ARM 37.27.105 and 37.27.107 are not considered a facility. (7) "Individualized treatment plan" means a plan of care developed in collaboration with the patient, as described in the BHDD Medicaid Manual. (8) "Licensed addiction counselor (LAC)" means an individual licensed under requirements pursuant to Title 37, chapter 35 MCA, and ARM Title 24, chapter 219, subchapter 50, to provide addiction counseling. References in ARM 37.27.107 to a LAC do not include an addiction counselor licensure candidate registered pursuant to Title 37, chapter 35, part 2, MCA. (9) "Program" is the general term for an organized system of services designed to address the treatment needs of clients. (10) "Progress note" is a written record of a treatment session or service contact as defined in the BHDD Medicaid Manual. (11) "Provisional approval" means a status of state approval granted to chemical dependency treatment programs which are requesting approval for the first time and which have not attained substantial compliance specified in these rules. (12) "Restricted approval" means a status of provisional state approval granted to a state approved program which has failed to maintain substantial compliance to enable it to meet the requirements of this subchapter. Restricted status is issued for a maximum of 90 days in order to allow programs to meet requirements. This approval cannot be renewed. (13) "Revoke" means invalidation of state approval of a program. (14) "State approved program" means a program reviewed and accepted by the department to provide substance use disorder prevention, treatment, rehabilitation, and/or recovery services. (15) "Substance use disorder (SUD)" means chemical dependency, as defined in 53-24-103 , MCA. (16) "Suspension" means invalidation of state approval of a treatment program for any period less than one year or until the department has determined that the program meets all requirements of this subchapter and notifies the program of reinstatement. Authorizing statute(s): 53-24-204 , 53-24-208 , 53-24-209 , 53-24-215 , MCA Implementing statute(s): 53-24-204 , 53-24-208 , 53-24-209 , 53-24-215 , MCA History: TRANS, Ch. 280, L. 1975, Eff. 1/2/77; AMD, 1981 MAR p. 1899, Eff. 1/1/82; AMD, 1983 MAR p. 1463, Eff. 10/14/83; AMD, 1985 MAR p. 1768, Eff. 11/15/85; AMD, 1987 MAR p. 2383, Eff. 12/25/87; AMD, 1990 MAR p. 737, Eff. 4/13/90; AMD, 1992 MAR p. 1477, Eff. 7/17/92; TRANS, from DOC, 1998 MAR p. 1502; AMD, 2003 MAR p. 803, Eff. 4/25/03; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.105 STATE APPROVED PROGRAMS, PREVENTION PROVIDERS, REQUIREMENTS (1) In order to be reimbursed for prevention services, a prevention provider must be state approved and: (a) have a contract with the department for substance abuse primary prevention services; (b) be the Montana Public Health Institute; or (c) be a county or tribal public health department. (2) In order to become state approved, a prevention provider must complete and submit to the department the designated application. (3) If the application and supporting documentation do not meet the application requirements, the department will notify the applicant in writing identifying the incomplete or missing information within 30 days of receipt of the application. (a) The applicant has 30 days from the date of notification to respond in writing to the content of the notice. (b) If a response is not received within 30 days, the department will deny approval and will notify the applicant in writing of the denial. (4) If the application and supporting documentation meet the application requirements, the department shall issue provisional approval. Provisional approval is granted to provide time to comply with standards. Within 90 days of granting provisional approval, the department shall inspect the provider either on-site or remotely. (5) The provider must submit the requested documentation to the department or provide access to the provider's premises for inspection. (6) Within 20 days of the inspection, the department shall issue final approval or deny the application and shall send written notification of full approval or denial to the applicant. (7) Upon receiving full approval, a provider may provide prevention and early intervention services as described by the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services. (8) The department will annually inspect the provider, on-site or remotely, to ensure the provider continues to meet requirements of this rule. (9) Approved providers must follow the American Society of Addiction Medicine (ASAM) Criteria in the provision of early intervention services and adhere to requirements outlined in the BHDD Medicaid Services Provider Manual for SUD and Adult Mental Health located at: https://dphhs.mt.gov/amdd/AMDDMedicaidServicesProviderManual . Authorizing statute(s): 53-2-201 , 53-24-204 , MCA Implementing statute(s): 53-24-204 , 53-24-207 , MCA History: NEW, 2021 MAR p. 182, Eff. 2/13/21; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.106 STATE APPROVED PROGRAMS, SUBSTANCE USE DISORDER FACILITIES (1) In order to be reimbursed for SUD facility-based treatment services, a SUD facility must be state approved and licensed pursuant to ARM Title 37, chapter 106, subchapter 14. (2) In order to become state approved, the SUD facility provider must complete and submit the designated application to the department. The SUD facility must be licensed for the level(s) of care indicated in the application. (3) If the application and supporting documentation do not meet the application requirements, the department will notify the applicant in writing identifying the incomplete or missing information within 30 days of receipt of the application. (a) The applicant has 30 days from the date of notification to respond in writing to the content of the notice. (b) If the response is not received within 30 days, the department will deny approval and will notify the applicant in writing of the denial. (4) If the application and supporting documentation meet the application requirements, the department shall issue full approval. Documentation must include evidence of an active facility license. (5) The department shall issue a final approval or deny the application and shall send written notification of full approval or denial to the applicant. (6) The department will reimburse a state approved facility for SUD facility-based services, as outlined in the BHDD Medicaid Manual, using appropriate Common Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) codes on applicable department fee schedules. (7) The department will inspect the facility once every two years, on-site or remotely, to ensure the facility continues to meet the requirements of this rule. (8) The provider must submit the requested documentation to the department or allow the department access to the provider's premises for inspection. (9) Approved facilities must follow the ASAM Criteria in the provision of services and adhere to requirements outlined in the BHDD Medicaid Manual. Authorizing statute(s): 53-24-204 , 53-24-208 , MCA Implementing statute(s): 53-24-208 , MCA History: TRANS, C. 207, L. 1975, Eff. 1/2/77; AMD, 1981 MAR p. 1899, Eff. 1/1/82; AMD, 1983 MAR p. 1463, Eff. 10/14/83; AMD, 1987 MAR p. 2383, Eff. 12/25/87; TRANS, from DOC, 1998 MAR p. 1502; AMD, 2022 MAR p. 57, Eff. 1/15/22; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.107 STATE APPROVED PROGRAMS, INDIVIDUAL OUTPATIENT TREATMENT PROVIDERS (1) In order to be reimbursed for outpatient services, an individual outpatient treatment provider must be state approved and be a licensed addiction counselor. (2) In order to become state approved, the licensed addiction counselor (LAC) must complete and submit the designated application to the department. (3) If the application and supporting documentation do not meet the application requirements, the department will notify the applicant in writing identifying the incomplete or missing information within 30 days of receipt of the application. (a) The applicant has 30 days from the date of notification to respond in writing to the content of the notice. (b) If a response is not received within 30 days, the department will deny approval and will notify the applicant in writing of the denial. (4) If the application and supporting documentation meet the application requirements, the department shall issue provisional approval. Provisional approval is granted to provide time to comply with standards. Within 90 days of granting provisional approval, the department shall inspect the provider either on-site or remotely. (5) The provider must submit the requested documentation to the department or allow the department access to the provider's premises for inspection. (6) Within 20 days of the inspection, the department shall issue final approval or deny the application and shall send written notification of full approval or denial to the applicant. (7) The department will reimburse a state approved outpatient treatment provider for American Society of Addiction Medicine (ASAM) level of care 1.0, Outpatient Services, using appropriate Common Procedural Terminology (CPT) codes. (8) The department will annually inspect the provider, on-site or remotely, to ensure the provider continues to meet requirements of this rule. (9) Approved providers must follow the ASAM Criteria in the provision of services and adhere to requirements outlined in the BHDD Medicaid Services Provider Manual. Authorizing statute(s): 53-2-201 , 53-24-204 , MCA Implementing statute(s): 53-24-204 , 53-24-207 , MCA History: NEW, 2021 MAR p. 182, Eff. 2/13/21; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.115 ALL STATE APPROVED PROGRAMS - ACCEPTANCE OF PERSONS INTO THE TREATMENT PROGRAM (1) The program shall ensure compliance with 53-24-209 , MCA. (2) The program shall admit and care for only those persons for whom it can provide care and services appropriate to the person's physical, emotional, and social needs. (3) The program shall work together with the client to implement a written individualized treatment plan that identifies services and supports needed to address problems and needs identified in the biopsychosocial assessment. The individualized treatment plan is maintained on a current basis for each client. (4) The program shall make appropriate referrals when the client needs services not offered by the program. Referrals must be documented in the client record. (5) The program shall ensure that clients receiving prescribed medication(s), including medication for opioid use disorder, are not required to discontinue the medication as a condition for receiving services. Access to, and coordination with, qualified medical providers must be made available on-site or through referral. Authorizing statute(s): 53-24-209 , MCA Implementing statute(s): 53-24-209 , MCA History: TRANS, C. 208, L. 1975, Eff. 1/2/77; AMD, 1981 MAR p. 1899, Eff. 1/1/82; AMD, 1983 MAR p. 1463, Eff. 10/14/83; TRANS, from DOC, 1998 MAR p. 1502; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.116 INDIVIDUAL OUTPATIENT TREATMENT PROVIDERS AND PREVENTION PROVIDERS, CLIENTS RIGHTS (1) Programs approved under ARM 37.27.105 and 37.27.107 that provide treatment (including early intervention) must develop and maintain a client rights policy that supports and protects the state and federal constitutional and statutory rights, including civil rights, of all clients. These must include the right to: (a) receive treatment free of unlawful discrimination; (b) receive reasonable accommodations, consistent with federal and state law; (c) receive treatment in the least restrictive environment, consistent with law, in a manner sensitive to individual needs and which promotes dignity and self-respect; (d) have all clinical and personal information treated in accordance with state and federal confidentiality statutes and regulations; (e) practice the religion of the client's choice, consistent with the Montana Religious Freedom Restoration Act and consisting the rights of others and the requirements of the treatment program. The client also has the right to be excused from any religious practice; (f) review their own treatment records in the presence of treatment staff, consistent with 45 CFR 164.524 and other state and federal confidentiality statutes and regulations; (g) be fully informed of fees charged, including fees for copying records to verify treatment and methods of payment available; (h) be free from abuse, neglect, and financial exploitation by staff members or clients; (i) have grievances considered in a fair and timely manner, with respect to infringements of rights described in this rule; (j) be given a 30-day notice in the event of program closure or discontinuation of treatment services; (k) be provided with a referral to similar treatment services, if available; and (l) be advised how to access records to which the client is entitled. (2) The program must inform each client and his or her representative, in an understandable manner, of the rights policy, treatment methods, and rules applicable to the client, at the time of admission or as soon thereafter as the client is capable of rational communication. (3) The client and staff member reviewing the policy must sign a statement acknowledging the review. The statement must be maintained in the client's record. (4) The program must post a copy of client rights in a conspicuous place in the facility, accessible to clients and staff members. Authorizing statute(s): 53-24-105 , 53-24-305 , MCA Implementing statute(s): 53-24-305 , MCA History: TRANS, C. 280, L. 1975, Eff. 1/2/77; AMD, 1981 MAR p. 1899, Eff. 1/1/82; AMD, 1983 MAR p. 1463, Eff. 10/14/83; AMD, 1990 MAR p. 737, Eff. 4/13/90; TRANS, from DOC, 1998 MAR p. 1502; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.117 INDIVIDUAL OUTPATIENT TREATMENT AND PREVENTION PROVIDERS, CONFIDENTIALITY (1) Programs approved under ARM 37.27.105 and 37.27.107 providing treatment (including early intervention) must have a written client confidentiality policy pursuant to 42 CFR Part 2. (2) The confidentiality policy must be reviewed with the client at the time of admission or as soon thereafter as the client is capable of rational communication. (3) Policy requirements must include activities to: (a) inform clients that federal law and regulations protect the confidentiality of alcohol and drug abuse client records; and (b) provide clients with a summary in writing of the federal law and regulations. (4) The written summary required in (3)(b) must include: (a) a general description of limited circumstances under which a SUD program may acknowledge a client is present at a facility or disclose information identifying a client as an alcohol or drug abuser; (b) a statement that violation of the federal law and regulations by a SUD program is a crime and suspected violations may be reported to appropriate authorities in accordance with these regulations; (c) a statement that information related to a client's commission of a crime on the premises of the SUD program or against staff members of the SUD program is not protected; (d) a statement that reports of suspected child abuse or neglect made under state law to appropriate state or local authorities are not protected; and (e) a citation to the federal law and regulations. (5) Client consent must be obtained for each release of information to any other person or entity if required under 42 CFR Part 2. The consent for release of information must have specific information pursuant to 42 CFR Part 2. Authorizing statute(s): 53-24-204 , 53-24-207 , MCA Implementing statute(s): 53-24-208 , MCA History: NEW, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.118 INDIVIDUAL OUTPATIENT TREATMENT AND PREVENTION PROVIDERS, COMMUNICABLE DISEASE CONTROL (1) Programs approved under ARM 37.27.105 and 37.27.107 providing treatment (including early intervention) must have a policy for communicable disease control. (2) The communicable disease policy must be reviewed annually and include: (a) procedures to identify high risk individuals; (b) specific procedures to address tuberculosis (TB), Hepatitis A, Hepatitis C, sexually transmitted infections (STI), and human immunodeficiency virus (HIV); and (c) the identification of methods used to protect, contain, or minimize the risk to clients and staff members. (3) The program is responsible for the direction, provision, and quality of infection prevention and control services. (4) Programs must implement TB protocols for all staff members and clients based upon an annual TB Risk assessment as set forth by the Montana Tuberculosis Prevention and Control Program pursuant to ARM Title 37, chapter 114, subchapter 10. Risk assessment and TB manuals are found at https://dphhs.mt.gov/publichealth/cdepi/diseases/Tuberculosis/ . Authorizing statute(s): 53-24-204 , 53-24-207 , MCA Implementing statute(s): 53-24-208 , MCA History: NEW, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.119 INDIVIDUAL OUTPATIENT TREATMENT AND PREVENTION PROVIDERS, ABUSE OR NEGLECT REQUIREMENTS (1) Programs approved under ARM 37.27.105 and 37.27.107 providing treatment (including early intervention) must have a policy that: (a) clearly defines child abuse and neglect as defined in 41-3-102 , MCA; (b) clearly defines abuse, neglect, and exploitation of an older person or a person with a developmental disability as defined in 52-3-803 MCA; (c) outlines the provider's responsibility to report all known or suspected incidents of abuse, neglect, or exploitation of any client within 24 hours; and (d) addresses handling of suspected or validated incidents of abuse, neglect, or exploitation. (2) Any provider who knows or has reasonable cause to suspect an incident of child abuse or neglect has occurred must make a report within 24 hours of the incident to the state child abuse hotline (866) 820-5437 as required in 41-3-201 , MCA. (3) Any provider who knows or has reasonable cause to suspect an incident of abuse, neglect, or exploitation of a vulnerable adult has occurred must make a report within 24 hours of the incident to Adult Protective Services or other bodies as required in 52-3-811 , MCA. (4) In addition to reporting requirements in (2) and (3), the provider must also make a report to the department in writing within 24 hours of any allegations of client abuse, neglect, or exploitation within the program. (5) The program must document, in writing, that the proper authorities have been contacted and the abuse, neglect, or exploitation has been reported. (6) The provider must fully cooperate with any investigation conducted because of the report. Authorizing statute(s): 53-24-204 , MCA Implementing statute(s): 41-3-102 , 41-3-201 , 52-3-803 , 52-3-811 , 53-24-208 , MCA History: NEW, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.120 ALL STATE APPROVED PROGRAMS - ORGANIZATION AND MANAGEMENT (1) The organization and management of all state approved programs shall ensure that: (a) The program has written policies and procedures required by this subchapter. (b) The program will develop and conduct annual program evaluations or review to assess the quality, appropriateness, and efficacy of treatment services provided. This review should examine the following: (i) admission criteria/intake process; (ii) assessments; (iii) treatment planning; (iv) documentation of implementation of treatment services; (v) discharge and continuing care planning; and (vi) indications of treatment outcomes. (c) The program will monitor the following treatment outcomes: (i) demographics; (ii) no shows; (iii) wait times; (iv) abstinence and reduction of the use of substances; (v) involvement with the criminal justice system; (vi) stable employment, school, or training; (vii) housing stability; (viii) retention in services; (ix) perception of care; (x) social connectedness; and (xi) use of evidence-based practices. (d) Client records are retained according to the following guidelines: (i) If a state approved chemical dependency program is receiving public funds through a contract, grant or written agreement with federal, state, county or city agencies, records must be retained 5 years beyond the termination date of said contract, grant, or written agreement. Records shall be retained beyond the 5 year period if an audit is in process or if any audit findings, lawsuits, or claims involving the records have not been resolved. The retention period for each year's records starts from date of submission of the annual or final report of expenditures (financial status report or equivalent) . (ii) If a state approved program is not receiving public funds (federal, state, county or city), records must be retained 5 years beyond the fiscal year end (June 30th) in which that client was most recently discharged from that program. Records shall be retained beyond the 5 year period if an audit is in process or if any audit findings, lawsuits, or claims involving the records have not been resolved. (e) Facilities and offices are clean and well maintained. (f) Accounting and fiscal procedures are adopted which ensure financial accountability and meet all federal, state, and county requirements. (g) A sliding fee schedule is adopted based on ability to pay for all individuals receiving treatment services provided by state approved programs. ( 53-24-108 (4), MCA). (h) The program maintains general liability insurance and professional liability insurance. (i) Client records and documentation adhere to requirements described in the BHDD Medicaid Manual and ARM 37.85.414 . (j) Programs will submit quarterly updates to the department to ensure contact information, organizational chart, locations, hours of operation, and services provided are up to date. Authorizing statute(s): 53-24-204 , 53-24-207 , 53-24-208 , MCA Implementing statute(s): 53-24-208 , 53-24-209 , 53-24-306 , MCA History: TRANS, C. 280, L. 1975, Eff. 1/2/77; AMD, 1981 MAR p. 1899, Eff. 1/1/82; AMD, 1983 MAR p. 1463, Eff. 10/14/83; AMD, 1985 MAR p. 1768, Eff. 11/15/85; AMD, 1987 MAR p. 2383, Eff. 12/25/87; AMD, 1992 MAR p. 1477, Eff. 7/17/92; TRANS, from DOC, 1998 MAR p. 1502; AMD, 2022 MAR p. 1889, Eff. 9/24/22. 37.27.122 STATE APPROVED PROGRAMS, SANCTIONS (1) The department, after written notice to the program, may sanction a program's state approval upon finding that the program: (a) fails to meet any state approval requirements established by this subchapter; (b) fails to meet regulations or licensure standards set forth in ARM Title 37, chapter 106, subchapter 14; (c) has failed to use state or federal funds received under contract with the department or through Montana Medicaid as required, pursuant to state or federal regulations, for the operations of a program or provision of services; (d) has failed to comply with a performance action plan approved by the department; (e) has committed unprofessional conduct pursuant to 37-1-316 , MCA; (f) has current orders or sanctions pursuant to 37-1-312 , MCA; or (g) has current sanctions pursuant to ARM Title 37, chapter 85, subchapter 5. (2) The department will issue a 90-day restricted state approval to a program that has failed to meet requirements of this rule and has submitted a performance action plan approved by the department. (3) The department will issue a suspension of state approval, for up to one year, to a program that has failed to meet requirements of this rule during a restricted state approval and has submitted a performance action plan approved by the department. (a) Programs approved under ARM 37.27.107 will receive an immediate suspension of state approval if their professional license has been suspended by the licensing board. Suspension will be the same length of time determined by the licensing board or one year, whichever is greater. (4) The department will revoke a program's state approval if the program: (a) has failed to meet requirements of this rule during a suspension of their state approval; (b) has been excluded from participation in a government health care program; or (c) approved under ARM 37.27.107 , has had its professional license revoked by the licensing board. (5) A restriction or suspension of state approval may only be issued one time within a two-year period. (6) Any program whose state approval has been revoked under the provisions of this subchapter may not submit another application for state approval within one year from the date of revocation and all deficiencies identified in the performance action plan have been corrected. (7) Any program whose state approval has been restricted, suspended, or revoked has the right to request a hearing as set forth in ARM Title 37, chapter 5, subchapter 3. Authorizing statute(s): 53-24-204 , 53-24-207 , 53-24-208 , MCA Implementing statute(s): 53-24-208 , MCA History: NEW, 2022 MAR p. 1889, Eff. 9/24/22.