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Community Services

Personal Assistance Services (PAS) Manual

      Date Revised
  001 Contents Index 08/01/11
  002 Alpha Index 01/01/08
  003 Abbreviations 08/01/11
       

400 Eligibility for Services

  401 Medicaid Eligibility Requirements 02/01/06
  402 Program Eligibility and Medical Need 12/01/01
  403 General Provisions and Services 01/01/08
  404 Service Limitations and Exclusions 02/01/06
  405 Reserved 01/01/08
  406 Reserved 02/01/06
  407 Denial of Initial Services 09/11/00
  408 Reserved 02/01/06
  409 Private Pay 07/01/00
  410 Reserved 02/01/06
  411 New Admissions (Initial) 02/01/06
  412 Request to Change Agencies 04/01/04
  413 Switch in Options 01/01/08
  414 High Risk Cases 01/01/08
  415 Annual Mountain Pacific Quality Health Foundation Reviews 01/01/08
  416 Shared Cases 07/01/01
  417 Request to Amend Authorization 01/01/08
       

500 Mountain Pacific Quality Health Foundation

  501 Prior Authorization Contract Requirements 04/01/04
  502 New Admissions 01/01/08
  503 Personal Assistance Services Consumer   Overview/Referral (DPHHS-SLTC-154) 02/01/06
  504 Personal Assistance Services Profile  (DPHHS-SLTC-155) 02/01/06
  505 Personal Assistance Services    Authorization (DPHHS-SLTC-151) 04/01/04
  506 Contract Performance Standards 04/01/04
       

600 Administrative Requirements

  601 Provider Enrollment 02/01/06
  602 Provider Responsibilities 02/01/06
  603 Provider Training 02/01/06
  604 Payment Requirements 02/01/06
  605 Payment Processing 01/01/08
  606 Reimbursement Methodology 08/01/11
  607 Discontinuation 07/01/00
  608 Records Retention 04/01/04
       

700 Service Requirements

  701 Provider Intakes 01/01/08
  702 Nurse Supervision 01/01/08
  703 Supervisory Visits 01/01/08
  704 Complaint Procedures 07/01/01
  705 Termination of Services Discharges/Temporary Absences 02/01/06
  706 Training 01/01/08
  707 Mileage and Escort 01/01/08
  708 Reporting of Serious Occurrences 01/01/08
  709 Home and Community Based Services Program 02/01/06
  710 Live-in Attendants, Family and Significant Others 02/01/03
  711 Medicare Home Health Aides 01/01/08
  712 Services to Individuals Under Age 21 01/01/08
  713 Services to the Developmentally Disabled 02/01/06
  714 Services to Pregnant Women 07/01/00
       

800 Rules and Resources

    801 thru 804 Please contact the Program Manager or RPO for a current copy  
  801 Provider Requirement Administrative Rules of Montana 02/01/06
  802 Provider Sanction Administrative Rules of Montana 02/01/06
  803 Personal Care Administrative Rules of Montana 02/01/06
  804 Self-Directed Personal Assistance Services   Administrative Rules of Montana 02/01/06
  805 Elder Abuse Law 02/01/06
  806 Provider Inquiry of Medicaid Eligibility 01/01/08
  807 Release of Information Form 01/01/08
  808
       

900 Forms

  901 General Information - Forms  
       Forms Requisition 08/01/11
  902 General Utilization 05/01/09
  903 Form DPHHS-SLTC-161, Personal Assistance Services Temporary Authorization 01/01/08
  904 Reserved 02/01/06
  905 Form DPHHS-SLTC-150, Personal Assistance Services Nurse Supervision Documentation 08/01/11
  906 Form DPHHS-SLTC-157, Change in Demographics 01/01/08
  907 Form DPHHS-SLTC-158, Personal Assistance Services Agency Discharge/Unable to Admit Sheet 05/01/09
  908 Personal Assistance Services Agency Intake Sheet 05/01/09
  909 Reserved 05/01/09
  910 Reserved 08/01/11
  911 Sample of Personal Assistance Services Delivery Record 08/01/11
  912 Provider Prepared Standards 01/01/08
  913 Form DPHHS-MA-128 Request for Case Review 02/01/06