53-4-1001. Short title

53-4-1001. (Temporary) Short title. This part may be cited as the “Children’s Health Insurance Program Act”. (Terminates on occurrence of contingency–sec. 15, Ch. 571, L. 1999.) History: En. Sec. 1, Ch. 571, L. 1999.

53-4-1002. Purpose — definition

53-4-1002. (Temporary) Purpose — definition. (1) The purpose of this part is to create a program to provide health care to children who are not eligible for health care services under the Montana medicaid program. These health care services may be provided by the payment for health care through an insurance plan, a health maintenance organization, […]

53-4-1003. Establishment and administration of program

53-4-1003. (Temporary) Establishment and administration of program. The department of public health and human services may establish, administer, and monitor a program to provide health care to uninsured children. The department may not use money appropriated for this program to expand eligibility criteria for the Montana medicaid program. (Terminates on occurrence of contingency–sec. 15, Ch. 571, […]

53-4-1004. Eligibility for program — rulemaking

53-4-1004. (Temporary) Eligibility for program — rulemaking. (1) To be considered eligible for the program, a child: (a) must be 18 years of age or younger; (b) must have a combined family income at or below 250% of the federal poverty level or at a lower level determined by the department of public health and human services as […]

53-4-1005. Benefits provided

53-4-1005. (Temporary) Benefits provided. (1) Benefits provided to participants in the program may include but are not limited to: (a) inpatient and outpatient hospital services; (b) physician and advanced practice registered nurse services; (c) laboratory and x-ray services; (d) well-child and well-baby services; (e) immunizations; (f) clinic services; (g) dental services; (h) prescription drugs; (i) mental health and substance abuse treatment services; (j) habilitative services as […]

53-4-1006. Repealed

53-4-1006. Repealed. Sec. 1, Ch. 152, L. 2005. History: En. Sec. 1, Ch. 215, L. 1999.

53-4-1007. Department may contract for services

53-4-1007. (Temporary) Department may contract for services. (1) The department of public health and human services may administer the program directly or contract with insurance companies or other entities to provide services for a set monthly or yearly fee based on the number of participants in the program and the types of services provided or based […]

53-4-1008. Participant cost sharing

53-4-1008. (Temporary) Participant cost sharing. The department of public health and human services may charge fees to participants in the program. The fees may include: (1) monthly or yearly enrollment fees; (2) minimum charges to be incurred or spent before benefits are paid; (3) cost sharing for individual benefits; and (4) other types of charges assessed as part of the […]

53-4-1009. Department to adopt rules — review by interim committee

53-4-1009. (Temporary) Department to adopt rules — review by interim committee. (1) The department of public health and human services shall adopt rules necessary for the administration of the program, including rules governing the application process, termination, and confidentiality. (2) The rules may include, as necessary: (a) the amount, scope, and duration of specific services provided; (b) criteria to […]

53-4-1010. Sharing of information

53-4-1010. (Temporary) Sharing of information. The department of public health and human services, health care providers, insurance companies, and other entities may share only health care information, medical records, income, and other participant eligibility information for the purposes of administering the program. The limitations on disclosure of information provided in 33-19-306 do not apply if they […]

53-4-1011. Tobacco settlement funds to general fund

53-4-1011. (Temporary) Tobacco settlement funds to general fund. Unless deposited into the trust fund, provided for in 17-6-603, or a state special revenue account, provided for in 17-6-606, funds received from the tobacco settlement must be deposited in the general fund. Any funds appropriated from the general fund for the children’s health insurance program that remain […]

53-4-1012. State special revenue account

53-4-1012. (Temporary) State special revenue account. (1) There is an account in the state special revenue fund to the credit of the state children’s health insurance program administered by the department of public health and human services. Any interest or income derived from the account must be deposited in the account. (2) Money deposited in this account […]