ARM 37.90.6

ARM 37.90.6 Consolidated Appropriations Act, Section 5121 Targeted Case Management

This rule establishes Medicaid reimbursement rates for Targeted Case Management (TCM) services provided under Section 5121 of the Consolidated Appropriations Act, defining a unit of service as 15 minutes and directing providers to the department's fee schedule for applicable rates. It governs billing and payment methodology for TCM rather than licensing or operating standards for any specific facility or level of care.

37.90.601
 TARGETED CASE MANAGEMENT FOR THE CONSOLIDATED APPROPRIATIONS ACT, SECTION 5121: REIMBURSEMENT

(1)
 
TCM under the provisions of CAA, Section 5121 will be reimbursed on a fee per unit of service basis as follows.
 
For purposes of this rule, a unit of service is a period of 15 minutes.

(2)
 
The department adopts and incorporates by reference the department's fee schedule which sets forth the reimbursement rates for TCM.
 
The provider reimbursement rate for TCM under the provisions of CAA, Section 5121 is stated in the department's fee schedule as provided in ARM 
37.85.106
.

Authorizing statute(s):
 
53-2-201
, 
53-6-113
, MCA

Implementing statute(s):
 
53-2-201
, 
53-6-101
, 
53-6-113
, MCA

History: 
NEW, 2026 MAR, Notice No. 2026-170, Eff. 8/22/26.