Administrative Rules of Montana Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
The Administrative Rules of Montana, Title 37 – Department 37 (Public Health and Human Services) govern the department’s operations, programs, licensing, health standards, and services. Here's a clear breakdown:
🏛️ Structure & Chapters
Title 37 is organized into multiple chapters—each dedicated to a different area of public health or human services. Major chapters include (but are not limited to) (regulations.justia.com):
37.1–37.2: Organizational structure & internal procedures
37.5: Fair hearings and contested case proceedings
37.8: Records and statistics
37.10–37.14: Emergency health, labs, radiation
37.19–37.21: Family planning and abortion documentation
37.25–37.27: Juvenile residential alcohol/drug treatment
37.30–37.31: Vocational rehabilitation and independent living
37.34: Developmental disabilities
37.37: Therapeutic youth group homes
37.40–37.41: Senior & long-term care services (incl. nursing homes, home health, hospice)
37.45: Veterans’ facilities
37.47: Protective services
37.49–37.52: Foster care & adoption
37.55: End-stage renal disease (ESRD)
37.57–37.60: Maternal/child health & WIC
37.62: Child support enforcement
37.66: Mental health inpatient facilities
37.75–37.78: Child/adult care food, nutrition, TANF
37.79–37.80: Healthy Montana Kids & child care assistance
37.81–37.87: Medicaid programs
37.93–37.101: Licensure (child placing, day care, youth care, behavioral programs)
37.104–37.106: Emergency medical services & healthcare facilities
37.107–37.113: Marijuana registry, quality assurance, food/drug standards, public accommodations, body art, indoor air
37.114: Communicable disease control
37.115–37.116: Pools/spas, dead human bodies
37.117: Tobacco settlement accounts (regulations.justia.com)
🔎 Example: Senior & Long-Term Care (Chapter 37.40)
Chapter 37.40 covers elder care services such as:
Nursing home and intermediate care
Skilled nursing screening & reimbursement
Swing-bed programs
Home health, hospice, dialysis
Community First Choice & personal assistance services
Self-directed options and home/community-based services (regulations.justia.com)
⚙️ Rule Notices & Recent Updates
The Montana DPHHS regularly publishes rule notices—including proposals, amendments, and emergency rules—via the Montana Administrative Register (MAR). Recent topics include:
Pediatric Complex Care Assistance (Notice 2025‑53.1; hearing July 18 2025)
Home & Community‑Based Services, Electronic Visit Verification (Notice 2025‑523.1; hearing June 27 2025)
Applied Behavior Analysis, Positive Behavior Support, Hospice Reimbursement, Adult Protective Services, Community First Choice, and various licensing changes (tattoo/body piercing, vital records, DD incident reporting, retirement homes, EHR incentive program, etc.) (dphhs.mt.gov)
Specific MAR notices such as 37‑1072 (body piercing/tattooing), 37‑1075 (vital records), 37‑1086 (HCBS environment), 37‑1095 (domestic violence), 37‑1100 (retirement homes), 37‑1102 (EHR incentives), 37‑1105 (developmental disabilities incident reporting) each have proposed hearing dates in early 2025 (dphhs.mt.gov).
✅ Accessing the Rules
The full Administrative Rules of Montana (ARM), Title 37 is viewable online via the Secretary of State or DPHHS legal resources (dphhs.mt.gov).
Individual rule sections or subchapters (e.g., ARM 37.40.702 for Home Health Services) can be retrieved via the state’s regulations portal (rules.mt.gov).
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