Montana Rehabilitation Services Policy Manual

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The Montana Rehabilitation Services Provider Policy Manual establishes a comprehensive framework for the operation of state-compliant rehabilitation services providers in Montana. This manual aligns with federal and state regulations, including the Montana Administrative Rules (ARM), the Rehabilitation Act of 1973, and Medicaid and Medicare Conditions of Participation (42 CFR Part 440.130(d), ensuring full compliance with legal and operational standards. It provides detailed policies on licensure, service delivery, client rights, clinical documentation, quality assurance, emergency preparedness, and provider qualifications.
Key features of the manual include:
Licensure and Accreditation: Providers obtain licensure through the Montana Department of Public Health and Human Services (DPHHS). Accreditation by recognized bodies such as the Joint Commission is optional but enhances eligibility for licensure.
Service Scope: Rehabilitation services encompass medical, mental health, substance use disorder (SUD), behavioral, and remedial interventions aimed at reducing disability and restoring functional skills. Services are delivered by qualified providers within their scope of practice under Montana law.
Provider Qualifications: Community Rehabilitation Providers (CRPs) specific educational and experience requirements, including a high school diploma or GED and two years of relevant experience. Alternative training may substitute for experience if approved.
Client Rights and Access: Policies ensure equitable access to services for eligible individuals based on medical necessity criteria. Providers must demonstrate adequate staffing levels to meet client needs while adhering to Montana Medicaid standards.
Quality Assurance: Providers self-evaluations, annual reports to DPHHS, and undergo periodic monitoring to ensure compliance with state regulations.
Emergency Preparedness: The manual outlines protocols for crisis stabilization services, including 24-hour staffing patterns for facilities offering Level III residential care.
This manual serves as a vital resource for rehabilitation service providers in Montana, guiding them in delivering high-quality care while maintaining adherence to state and federal regulatory frameworks. It supports providers in achieving licensure, certification, and operational excellence to meet the needs of individuals with disabilities or rehabilitation requirements.