Ambulatory Surgical Center Ambulatory Surgical Center Provider Manuals General Information for Providers 02/2017 Medicaid manual with general information for all provider types. Ambulatory Surgical Center Services 08/2016 This manual has information specific to your provider type. Provider Manuals – Replacement Pages General Information for Providers 02/07/2017 In summary, the Telemedicine Chapter was added as a new chapter. And the Medically Needy section of the Member Responsibilities Chapter page 6.5 was updated. 08.02.2016 The Introduction contains updated links in the HELP section. Cost Share was updated in the Billings Procedure. A duplicate word was removed in the RA chapter. The Cover Page was changed to reflect the current date of the new General Manual revision. 07.12.2016 General Information For Providers, July 2016 Table of Contents was amended by changing the title of “Basic Medicaid Waiver” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)”. Index was amended by changing the title of “Basic Medicaid Waiver” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)”. Page 1.3 changed the title “Basic Medicaid Waiver for Additional Services and Populations” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)” 01.19.2016 General Information for Providers, January 2016: Introduction Regarding HELP Plan Information 01.15.2016 General Information for Providers, January 2016: Introduction Regarding HELP Plan Information 12.31.2015 General Information for Providers, January 2016: HELP Plan-Related Updates and Others 11.17.2015 General Information for Providers, November 2015: Billing Procedures, Revenue Codes 25X and 27X 07.31.2015 General Information for Providers, August 2015: Entire Manual 11.19.2014 General Information for Providers, November 2014: Billing Procedures 10.08.2014 General Information for Providers, September 2014: Billing Procedures 07.22.2014 General Information for Providers, June 2014: Member Eligibility and Responsibilities, Presumptive Eligibility 06.30.2014 General Information for Providers, June 2014: Entire Manual If information is found on the website, it has been removed from the manual, and a link to the source is provided. 04.13.2012 General Information for Providers, April 2012: Medicaid Covered Services and Client Eligibility 04.29.2005 General Information for Providers, April 2005: Member Number a Billable Number and Key Contacts Updated 11.05.2004 General Information for Providers, November 2004: References to Medicaid Rules and Regulations Added 09.16.2004 General Information for Providers, September 2004: Team Care and Nurse First Information Added Ambulatory Surgical Center 08.08.2016 Ambulatory Surgical Center, August 2016: In Summary, the Cost Share section of the Billing Procedure Chapter was removed and replaced with a referral to the Cost Share section of the General Manual. The Cover Page was changed to reflect the current manual edition date. 12.31.2015 Ambulatory Surgical Center, January 2016: HELP Plan-Related Updates and Others 09.23.2015 Ambulatory Surgical Center, August 2015: Entire Manual 08.22.2011 Ambulatory Surgical Center, June 2011: Key Contacts and Websites, Passport, and Other Passport to Health 11.09.2015 Passport to Health, November 2015: Passport Referrals Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated (Title 53, Chapter 6) Administrative Rules of Montana (Title 37) Chapter 79 Healthy Montana Kids Chapter 82 Medicaid Eligibility Chapter 83 Medicaid for Certain Medicare Beneficiaries and Others Chapter 85 General Medicaid Services Chapter 86 Medicaid Primary Care Services Fee Schedules – Ambulatory Surgical Center (ASC) 04/01/2017 ASC Fee Schedule Definitions PDF ACS Fee Schedule April 2017 PDF Excel ACS Fee Schedule April 2017 Excel 01/17/2017 PDF January 2017 ASC Excel January 2017 ASC 10/04/2016 PDF October 2016 ASC Excel October 2016 07/01/2016 PDF July 2016 ASC Rev. 08/05/2016 Excel July 2016 ASC Rev. 08/05/2016 04/05/2016 PDF April 2016 ASC Excel April 2016 ASC 01/05/2016 PDF January 2016 ASC Excel January 2016 ASC 10/20/2015 PDF October 2015 ASC Excel October 2015 ASC 07/2015 PDF July 2015 ASC Excel July 2015 ASC 05/04/2015 PDF April 2015 ASC Excel April 2015 ASC 01/20/2015 PDF January 2015 ASC Excel January 2015 ASC 10/07/2014 PDF October 2014 ASC Excel October 2014 ASC 09/24/2014 PDF July 2014 ASC Rev. 09/2014 Excel July 2014 ASC Rev. 09/2014 05/13/2014 PDF April 2014 ASC Excel April 2014 ASC 01/2014 PDF January 2014 ASC Excel January 2014 ASC Provider Notices 2017 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 0 4/06/2017 New EPSDT Request Form 03/07/2017 Reminder: Billing for Services in ASCs 2016 07/18/2016 Changes to Member Cost Share Update 07/05/2016 PA For Botox No Longer Required 07/05/2016 Circumcision Prior Authorization Changes 05/19/2016 Changes to Member Cost Share 04/07/2016 Montana Plan First - IUD and Anesthesia Updates 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016 2015 12/31/2015 Changes to Montana Medicaid 11/23/2015 Prior Authorization Requests and Medical-Surgical Prior Authorization Request Form Rev. 12/2015 11/03/2015 Services Exempt from Passport to Health Referral 10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual 08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) 07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana 06/09/2015 National Drug Code (NDC) Billing 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU 2014 12/18/2014 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Changes Final Notice 09/16/2014 Adoption of the New Children's Mental Health Bureau's Medicaid Provider Manual into Administrative Rules of Montana 08/05/2014 Montana Prescription Drug Registry 06/12/2014 ICD-10 Delay 05/13/2014 PERM Provider Educational Webinars 04/22/2014 Modifier Changes for Professional Claim Billers 03/18/2014 Information Regarding CMS-1500 01/29/2014 Centers for Medicare and Medicaid Services (CMS) ICD-10 Provider Readiness Assessment Update 01/09/2014 Using Medicaid Card ID Number When Billing and Checking Eligibility 01/09/2014 Reimbursement Changes for Covered Ancillary Services Provided to Youth in a PRTF and Additional Information Pertaining to PRTF Services Other Resources Prior Authorization Criteria for Specific Services EOB R&R Crosswalk and EOB R&R Crosswalk 02/2011 With the implementation of HIPAA, Medicaid will discontinue the use of Medicaid EOB codes and begin using HIPAA standard reason and remark (R&R) codes. This document crosswalks the HIPAA standard R&R codes to the Medicaid EOB codes. Lab Panels 2007 01/2007 Rebateable Manufacturers 04/2017 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.