Montana § 53-4-1005 Benefits Provided

Montana Statutes

§ 53-4-1005 — Benefits Provided

Montana·Title 53 SOCIAL SERVICES AND INSTITUTIONS·Ch. 4 CHILDREN'S SERVICES·Part 10 Children's Health Insurance

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, physician assistant, 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 defined in 53-4-1103 ;

(k)hearing and vision exams; and

(l)eyeglasses.

(2)The program must comply with the provisions of 33-22-153 and 53-6-197 .

(3)The department shall adopt rules, pursuant to its authority under 53-4-1009 , allowing it to cover significant dental needs beyond those

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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, physician assistant, 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 defined in 53-4-1103 ;
(k) hearing and vision exams; and
(l) eyeglasses.
(2) The program must comply with the provisions of 33-22-153 and 53-6-197 .
(3) The department shall adopt rules, pursuant to its authority under 53-4-1009 , allowing it to cover significant dental needs beyond those covered in the basic plan. Expenditures under this subsection may not exceed $100,000 in state funds, plus any matched federal funds, each fiscal year.
(4) The department is specifically prohibited from providing payment for birth control contraceptives under this program.
(5) The department shall notify enrollees of any restrictions on access to health care providers, of any restrictions on the availability of services by out-of-state providers, and of the methodology for an out-of-state provider to be an eligible provider. (Terminates on occurrence of contingency--sec. 15, Ch. 571, L. 1999, sec. 3, Ch. 169, L. 2007, sec. 10, Ch. 97, L. 2013, sec. 5, Ch. 399, L. 2017.)

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Legislative History

En. Sec. 5, Ch. 571, L. 1999; amd. Sec. 3, Ch. 476, L. 2001; amd. Sec. 1, Ch. 169, L. 2007; amd. Sec. 18, Ch. 486, L. 2009; amd. Sec. 6, Ch. 97, L. 2013; amd. Sec. 1, Ch. 399, L. 2017; amd. Sec. 17, Ch. 88, L. 2023; amd. Sec. 2, Ch. 488, L. 2023; amd. Sec. 8, Ch. 709, L. 2025.