{"data":{"id":"us-mt/53-6-413","jurisdiction":"us-mt","citation":"53-6-413","heading":"Substantive changes to waiver provisions -- rulemaking requirements -- definition.","body":"(1) The department may not make a substantive change to the services offered under an approved waiver or to the eligibility requirements or process for waiver participants unless the department:\n(a) adopts rules to implement the changes; and\n(b) if necessary, submits a waiver amendment to the centers for medicare and medicaid services and receives approval for the change.\n(2) (a) For the purposes of this section, \"substantive change\" means a change that:\n(i) reduces, limits, or otherwise establishes caps on the amount or duration of a service; or\n(ii) limits a person's ability to access waiver services.\n(b) The term includes but is not limited to changes requiring:\n(i) preauthorization before a service is provided;\n(ii) preauthorization before an individual is placed on the waiting list for services; or\n(iii) that services be used within a specific, shorter time period than previously allowed.","path":["TITLE 53. SOCIAL SERVICES AND INSTITUTIONS","CHAPTER 6. HEALTH CARE SERVICES","Part 4. Home and Community-Based Long-Term Care Medicaid Services"],"source_url":"https://mca.legmt.gov/bills/mca/title_0530/chapter_0060/part_0040/section_0130/0530-0060-0040-0130.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:57:16Z","sha256":"946f4f5ddf6cd42bd315c4344662cd5ff8af4b325acf2ac0d8f31bcedf9f394e","source_id":"us-mt","stale":false,"prev":"us-mt/53-6-408","next":"us-mt/53-6-501"},"notice":"GroundRules: Original legal text. Not legal advice."}