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ACA/FAMILY MEDICAID 806-1 Intermediate Care/Psychiatric Residential Treatment

Supersedes: FMA 1202-1 (01/01/06) Reference: 42 CFR 435.211, .222(a)(4), .712, .725 and .1009; ARM 37.82.101, .1310, .1312, and .1320 Overview: Medicaid may be available to Individuals under age 21 who are receiving inpatient treatment in an intermediate care facility (including those that serve the intellectually disabled) or psychiatric residential treatment facilities. The institution must be Medicaid-certified or a Medicaid provider of psychiatric residential treatment through an agreement with AMDD, and the individual must: 1. Meet all Medicaid nonfinancial requirements; 2. Be receiving psychiatric services in a residential treatment setting, AND is: a. Under court-ordered jurisdiction of DPHHS; or b. A ward of tribal court and under the supervision of: i. An Indian tribe; ii. BIA; or iii. The State of Montana; 3. Have countable resources that do not exceed $3,000; 4. Have countable income that is less than the cost of care at the facility. The treatment must also be medically necessary. NOTE: Children under age 19 may be eligible for other Medicaid coverage (HMK Plus) while residing in the above facilities, even if placement is not court ordered. Effective Date: July 01, 2016