ARM 37.27.7

ARM 37.27.7 Montana Chemical Dependency Center

These rules govern the Montana Chemical Dependency Center (MCDC), a state-operated public inpatient (free-standing) facility providing residential substance use treatment to chemically dependent Montana residents whose severity of illness meets Level III criteria. The rules establish admission procedures, referral requirements (including criminal justice referrals), utilization review processes, and discharge planning protocols. Operators and referring counselors must use nationally recognized patient placement criteria and confirm that local services are unavailable before referring clients to MCDC.

37.27.701
 MONTANA CHEMICAL DEPENDENCY CENTER: PURPOSE 

(1)
 
The Montana chemical dependency center (MCDC) is an approved public inpatient facility which provides inpatient (free standing) treatment to chemically dependent residents of Montana who demonstrate a severity of illness which matches the intensity of service. 

Authorizing statute(s):
 Sec. 
53-24-209
, MCA

Implementing statute(s):
 Sec. 
53-24-301
, MCA

History: 
NEW, 1996 MAR p. 2596, Eff. 10/4/96; TRANS, from DOC, 1998 MAR p. 1502.

37.27.702
 MONTANA CHEMICAL DEPENDENCY CENTER: DEFINITIONS 

(1)
 
"Level of care" means the following for the purpose of this rule: 

(a)
 
level IV - inpatient (hospital) care as defined in ARM 
37.27.102
(13); requirements are found in ARM 
37.27.129
. 

(b)
 
level III - inpatient (free standing) care as defined in ARM 
37.27.302
(13); requirements are found in 
37.27.130
. 

(c)
 
level II - day treatment and/or intensive outpatient treatment as defined in ARM 
37.27.102
(8) and (15); requirements are found in ARM 
37.27.137
 and 
37.27.138
. 

(d)
 
level I - outpatient treatment as defined in ARM 
37.27.102
(18); requirements are found in ARM 
37.27.136
. 

(2)
 
"Level III justification packet" means the materials to be sent to MCDC by the certified counselor (as defined in ARM 
20.3.401
 through 
20.3.416
) to justify the admission which include the following required items: 

(a)
 
results of assessment as defined in ARM 
37.27.130
; 

(b)
 
copy of the biopsychosocial assessment as defined in ARM 
37.27.102
(4), completed by a certified counselor; 

(c)
 
level III patient placement justification as defined in ARM 
37.27.130
; 

(d)
 
identification of overriding considerations as defined in ARM 
37.27.120
(1)(j)(vii) if appropriate; 

(e)
 
confirmation that appropriate services are not available locally; and 

(f)
 
current discharge summary as defined in ARM 
37.27.136
(5)(j), if recently discharged from another level of care. 

(3)
 
"Supporting documentation" means any documentation of the history of medical or psychiatric concerns which substantiates the need for level II care and/or negates the need for level IV care. 

(4)
 
"Qualifying placement" means justification at level III in at least two of the six dimensions, as defined in ARM 
37.27.120
(1)(j)(i) through (vii) or one dimension with a consideration which overrides the patient placement match. 

(5)
 
"MCDC utilization review committee" means a team with clinical, medical and administrative representation, which determines the appropriateness of admission level III treatment based on the documentation submitted by the certified chemical dependency counselor. 

Authorizing statute(s):
 
53-24-209
, MCA

Implementing statute(s):
 
53-24-301
, MCA

History: 
NEW, 1996 MAR p. 2596, Eff. 10/4/96; TRANS, from DOC, 1998 MAR p. 1502.

37.27.705
 MONTANA CHEMICAL DEPENDENCY CENTER: APPLICABILITY 

(1)
 
All state approved chemical dependency programs, Indian health services (IHS) approved Native American programs and certified chemical dependency counselors may refer clients to MCDC providing the level III justification packet is complete. In all cases the referring individual must be a certified chemical dependency counselor, who has utilized the level III justification format and the principles of patient placement. 

Authorizing statute(s):
 Sec. 
53-24-209
, MCA

Implementing statute(s):
 Sec. 
53-24-301
, MCA

History: 
NEW, 1996 MAR p. 2596, Eff. 10/4/96; TRANS, from DOC, 1998 MAR p. 1502.

37.27.710
 MONTANA CHEMICAL DEPENDENCY CENTER: CRIMINAL JUSTICE SYSTEM REFERRALS 

(1)
 
A court mandating or recommending chemical dependency treatment at MCDC must refer the offender to the approved chemical dependency program in their area or a certified chemical dependency counselor to complete the assessment, patient placement and confirmation that appropriate services are not available locally. The program or certified chemical dependency counselor may then refer the offender to MCDC if appropriate. The board of pardons, probation/parole officers and pre-release centers must also use this procedure. 

Authorizing statute(s):
 Sec. 
53-24-209
, MCA

Implementing statute(s):
 Sec. 
53-24-301
, MCA

History: 
NEW, 1996 MAR p. 2596, Eff. 10/4/96; TRANS, from DOC, 1998 MAR p. 1502.

37.27.711
 MONTANA CHEMICAL DEPENDENCY CENTER: ADMISSION POLICIES AND PROCEDURES 

(1)
 
An individual requesting admission to MCDC or a court referral must be assessed as chemically dependent pursuant to ARM 
37.27.130
(2) (a) , and demonstrate a severity of illness which qualifies the individual for level III care based on nationally recognized patient placement criteria. Furthermore, the certified chemical dependency counselor must confirm that the individual cannot obtain necessary care locally. 

(2)
 
The certified chemical dependency counselor must contact the admission coordinator at MCDC and request admission. The admissions coordinator will instruct the program or certified counselor in admission protocols. 

(3)
 
The certified counselor will send the completed level III justification packet and supporting documentation to MCDC. 

(4)
 
The MCDC utilization review committee will meet 5 days per week (Monday through Friday except holidays) to process and accept requests for admissions within 24 hours, providing the documentation within the level III justification packet is complete. Requests received after 11:00 a.m. on Friday will be processed on Monday. 

(5)
 
The committee may reject requests for admission based on inadequate documentation or inappropriate placement. 

(6)
 
The referring certified chemical dependency counselor will be notified of the deficiencies and be given the opportunity to correct the deficiencies and resubmit. 

(7)
 
Following acceptance of the admission request, MCDC will notify the referring certified chemical dependency counselor or state approved program of the specific date and time for the admission. The referring certified chemical dependency counselor or state approved program is responsible to arrange the travel so the individual arrives at the designated arrival time. 

Authorizing statute(s):
 Sec. 
53-24-209
, MCA

Implementing statute(s):
 Sec. 
53-24-301
, MCA

History: 
NEW, 1996 MAR p. 2596, Eff. 10/4/96; TRANS, from DOC, 1998 MAR p. 1502.

37.27.718
 MONTANA CHEMICAL DEPENDENCY CENTER: DISCHARGE PROCESS TO LEVEL II OR I 

(1)
 
Discharge will be determined by the individual's ability to meet MCDC's established discharge criteria based on nationally recognized patient placement criteria. Discharge planning will be ongoing, during the treatment process. All clients will receive a continuing care referral to the certified chemical dependency counselor or state approved program that initiated the admission, in order to ensure participation in necessary continuing care. 

Authorizing statute(s):
 Sec. 
53-24-209
, MCA

Implementing statute(s):
 Sec. 
53-24-301
, MCA

History: 
NEW, 1996 MAR p. 2596, Eff. 10/4/96; TRANS, from DOC, 1998 MAR p. 1502.