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 11/2016

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 - 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.

July 2014

PDF: July 2014 EPSDT
TXT: July 2014 EPSDT

January 2014

PDF: January 2014 EPSDT
TXT: January 2014 EPSDT

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.

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.

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.

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.

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

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.