Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » EPSDT

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EPSDT

EPSDT / Children’s Services

Early and Periodic Screening, Diagnostic, and Treatment Services

Please note: If you require Children's Chiropractic (EPSDT) information visit the Children's Chiropractic (EPSDT) provider type.

Provider Manuals

General Information for Providers  09/2017

Medicaid manual with general information for all provider types.

This manual has information specific to your provider type.

Nutrition EPSDT 08/2017

This manual has information specific to your provider type.

Orientation and Mobility Specialist 08/2017

This manual has information specific to your provider type.

Physician-Related Services 12/2017

This manual has information specific to your provider type.

Private Duty Nursing EPSDT 08/2017

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Children's Special Health Services

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

01/10/2018 January 2018 Children's Special Health Services Fee Schedule

July 2014

PDF: July 2014 Children's Special Health Services – Interdisciplinary Teams
TXT: July 2014 Children's Special Health Services – Interdisciplinary Teams
 

Fee Schedules - Nutritionist (EPSDT)

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

January 2018 Nutrition PDF
January 2018 Nutrition Excel
 

July 2016

PDF: July 2016 Nutrition Rev 02/02/2016
Excel: July 2016 Nutrition Rev 02/02/2016  
TXT: July 2016 Nutrition Rev 02/02/2016

July 2015

PDF: July 2015 Nutrition
TXT: July 2015 Nutrition  

Fee Schedules – O&M Specialist

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

January 2018 Orientation and Mobility Cover Sheet
January 2018 Fee Schedule Orientation and Mobility PDF
January 2018 Fee Schedule Orientation and Mobility Excel

 

July 2016

PDF: July 2016 Orientation and Mobility
Excel: July 2016 Orientation and Mobility
TXT: July 2016 Orientation and Mobility

July 2015

PDF: July 2015 Orientation and Mobility Rev. 11/2015
TXT: July 2015 Orientation and Mobility Rev. 11/2015
  

Fee Schedules – Private Duty Nursing

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

01/02/2018 January 2018 Private Duty Nursing Cover Sheet  January 2018 Private Duty Nursing Fee Schedule

July 2016 

PDF: July 2016 Private Duty Nursing
Excel: July 2016 Private Duty Nursing
TXT: July 2016 Private Duty Nursing

July 2015

PDF: July 2015 Private Duty Nursing    
TXT: July 2015 Private Duty Nursing

Fee Schedules – Respiratory

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

July 2014

PDF: July 2014 Respiratory Therapy
TXT: July 2014 Respiratory Therapy

January 2014

PDF: January 2014 Respiratory Therapy
TXT: January 2014 Respiratory Therapy

Provider Notices

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

2017

12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update
12/15/2017 Continuous Glucose Monitors-A9278, A9277, & A9276
12/11/2017  Montana Plan First Procedure and Service Codes - Contraceptive (IUD) Update
12/01/2017 Montana Medicaid Expansion Prior Authorization Changes
11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
10/04/2017 Makena Injection Code Change and Reimbursement
10/02/2017 Montana Medicaid Expansion Changes
09/14/2017 Montana Plan First Anesthesia Update
08/21/2017 Clinical Pharmacist Practitioner
08/01/2017 Telemedicine - Correction
07/25/2017 Caregiver Depression Screenings
06/05/2017 Pulse Oximetry for Children Age 0-20
05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition
04/21/2017 Bowel Management Program Supplies
04/06/2017 New EPSDT Request Form
03/31/2017  Ketone Test Strips - A4250 & A252
02/07/2017 New Place of Service for Telehealth
02/02/2017 EPSDT ( Children's) Lead Screening Requirements

2016

PDF: 09/26/2016 Coverage of Weighted Blankets
TXT:  09/26/2016 Coverage of Weighted Blankets
PDF: 07/18/2016 Changes to Member Cost Share Update
TXT:  07/18/2016 Changes to Member Cost Share Update
PDF: 05/19/2016 Changes to Member Cost Share
TXT:  05/19/2016 Changes to Member Cost Share
PDF: 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
TXT:  02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
PDF: 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev/ 01/19/2016
TXT:  01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev/ 01/19/2016

2015

PDF: 12/31/2015 Changes to Montana Medicaid
TXT:  12/31/2015 Changes to Montana Medicaid
PDF: 11/13/2015 Oral Nutrition for Children Under Age 21 – EPSDT
TXT:  11/13/2015 Oral Nutrition for Children Under Age 21 – EPSDT
PDF: 11/03/2015 Services Exempt from Passport to Health Referral
TXT:  11/03/2015 Services Exempt from Passport to Health Referral
PDF: 10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
TXT:  10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
PDF: 08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10)
TXT:  08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10)
PDF: 07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana
TXT:  07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana
PDF: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU
TXT:  02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU

Other Resources

To locate older documents, access the Archive Page.