{"data":{"id":"us-mt/53-6-124","jurisdiction":"us-mt","citation":"53-6-124","heading":"Definitions.","body":"As used in 53-6-101, 53-6-116, 53-6-125, 53-6-127, and this section, the following definitions apply:\n(1) \"Conversion factor\" means the dollar value that is multiplied by the appropriate relative value unit to calculate a price for a service provided by a physician.\n(2) \"Department\" means the department of public health and human services.\n(3) \"Direct patient care agreement\" means an agreement for health care services as provided for in 50-4-107.\n(4) \"Medicaid\" means the Montana medical assistance program established under Title 53, chapter 6.\n(5) \"Physician\" has the meaning provided in 37-3-102.\n(6) \"Policy adjuster\" means a factor by which the fee determined under 53-6-125 is multiplied to increase the fee paid by medicaid for certain categories of services.\n(7) \"Relative value unit\" means a numerical value assigned in the resource-based relative value scale to each procedure code used to bill for services provided by a physician.\n(8) \"Resource-based relative value scale\" means the medicare resource-based relative value scale contained in the physician's medicare fee schedule adopted by the centers for medicare and medicaid services of the U.S. department of health and human services.","path":["TITLE 53. SOCIAL SERVICES AND INSTITUTIONS","CHAPTER 6. HEALTH CARE SERVICES","Part 1. Medical Assistance -- Medicaid"],"source_url":"https://mca.legmt.gov/bills/mca/title_0530/chapter_0060/part_0010/section_0240/0530-0060-0010-0240.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:57:14Z","sha256":"0485fccb2862c2745666d93422ec7de95c3627a7e94b59a7ecd1852e11e9d058","source_id":"us-mt","stale":false,"prev":"us-mt/53-6-123","next":"us-mt/53-6-125"},"notice":"GroundRules: Original legal text. Not legal advice."}