Montana Code Annotated 2017

TITLE 53. SOCIAL SERVICES AND INSTITUTIONS

CHAPTER 6. HEALTH CARE SERVICES

Part 13. Montana Health and Economic Livelihood Partnership (HELP) Act

Copayments -- Exemptions -- Report

53-6-1306. (Temporary) Copayments -- exemptions -- report. (1) A program participant shall make copayments to health care providers for health care services received pursuant to this part.

(2) Except as provided in subsection (3), the department shall adopt a copayment schedule that reflects the maximum copayment amount allowed under federal law. The total amount of copayments collected under this section must be capped at the maximum amount allowed by federal law and regulations.

(3) The department may not require a copayment for:

(a) preventive health care services;

(b) generic pharmaceutical drugs;

(c) immunizations provided according to a schedule established by the department that reflects guidelines issued by the centers for disease control and prevention; or

(d) medically necessary health screenings ordered by a health care provider.

(4) Each health care provider participating in the third-party arrangement shall report the following information annually to the oversight committee on the Montana Health and Economic Livelihood Partnership Act:

(a) the total amount of copayments that the provider was unable to collect from participants; and

(b) the efforts the health care provider made to collect the copayments. (Terminates June 30, 2019--sec. 28, Ch. 368, L. 2015.)

History: En. Sec. 6, Ch. 368, L. 2015.