53-6-1304. (Temporary) Montana HELP Act program — eligibility for coverage of health care services — exceptions. (1) An individual is eligible for coverage of health care services provided pursuant to this part if the individual meets the requirements of 42 U.S.C. § 1396a(a)(10)(A)(i)(VIII).

(2)The department may serve individuals who are eligible for medicaid-funded services pursuant to this part through the medical assistance program established in Title 53, chapter 6, part 1, if the individuals would be served more appropriately because the individuals:

(a)have exceptional health care needs, including but not limited to medical, mental health, or developmental conditions;

(b)live in a geographical area, including an Indian reservation, that would not be effectively or efficiently served through this part;

(c)need continuity of care that would not be available or cost-effective through this part;

(d)are exempt under the waiver implementing this part as of July 1, 2019; or

(e)are otherwise exempt under federal law. (Terminates June 30, 2025–secs. 38, 48, Ch. 415, L. 2019.)