# Mont. Code Ann. § 53-6-413: 53-6-413 Substantive changes to waiver provisions -- rulemaking requirements -- definition

> Montana · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-413

## Section

- **Citation:** Mont. Code Ann. § 53-6-413
- **Heading:** 53-6-413 Substantive changes to waiver provisions -- rulemaking requirements -- definition
- **Jurisdiction:** Montana
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** MT Code / Title 53 / Chapter 6 / Part 4 / Section 53-6-413

## Text

53-6-413 . Substantive changes to waiver provisions -- rulemaking requirements -- definition. (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:

(a) adopts rules to implement the changes; and

(b) if necessary, submits a waiver amendment to the centers for medicare and medicaid services and receives approval for the change.

(2) (a) For the purposes of this section, "substantive change" means a change that:

(i) reduces, limits, or otherwise establishes caps on the amount or duration of a service; or

(ii) limits a person's ability to access waiver services.

(b) The term includes but is not limited to changes requiring:

(i) preauthorization before a service is provided;

(ii) preauthorization before an individual is placed on the waiting list for services; or

(iii) that services be used within a specific, shorter time period than previously allowed.

## Nearby sections

- [Mont. Code Ann. § 53-6-401 53-6-401 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-401.md)
- [Mont. Code Ann. § 53-6-402 53-6-402 Medicaid-funded home and community-based services -- waivers -- funding limitations -- populations -- services -- providers -- long-term care preadmission screening -- powers and duties of department -- rulemaking authority](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-402.md)
- [Mont. Code Ann. § 53-6-403 53-6-403 Home and community-based services waivers -- legislative findings and intent](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-403.md)
- [Mont. Code Ann. § 53-6-404 53-6-404 Use of waiver funding](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-404.md)
- [Mont. Code Ann. § 53-6-405 53-6-405 Fraud prevention education -- department responsibilities](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-405.md)
- [Mont. Code Ann. § 53-6-407 53-6-407 Notification required before termination of waiver participation](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-407.md)
- [Mont. Code Ann. § 53-6-413 53-6-413 Substantive changes to waiver provisions -- rulemaking requirements -- definition](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-413.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C6_P4_S53-6-413. Check the current official text before relying on it. Not legal advice.