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. 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) 07/01/2017 PDF ACS Fee Schedule Cover Sheet PDF ACS Fee Schedule July 2017 PDF Excel ACS Fee Schedule April 2017 Excel 04/01/2017 PDF 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 Rebateable Manufacturers 07/2017 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.